NB Acupuncture, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

NB ACUPUNCTURE, INC

Practice address

1204 S Bristol St Unit D-7
Santa Ana, CA 92704-3422

Phone

(714) 232-3372

NPI assigned

Mar 1, 2022

Last updated

Mar 2, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaewoong ParkNPI 1508525379

Title

Acupuncturist

Phone

(714) 232-3372

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaewoong Park, L.AC

  • Acupuncturist
  • Santa Ana, CA
  • NPI 1508525379
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1639825417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 S BRISTOL ST UNIT D-7",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043422",
            "telephone_number": "714-232-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 S BRISTOL ST UNIT D-7",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043422",
            "telephone_number": "714-232-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NB ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAEWOONG",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "714-232-3372"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.