Organization Active NPI

Under Ground Stream Qi Acupuncture

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1649527847
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 8707 Issued in CA
Legal business name
UNDER GROUND STREAM QI ACUPUNCTURE
Practice address
1001 S Vermont Ave
Suite 213
Los Angeles, CA 90006-2756
Phone
(213) 388-5300
Fax
(213) 738-7300
NPI assigned
Aug 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Dr. Gabriel Duck Rim Kang
Title
Owner
Phone
(213) 388-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 8707 CA Primary

Addresses

Primary practice location

1001 S Vermont Ave
Suite 213
Los Angeles, CA 90006-2756

Mailing address

1001 S Vermont Ave
Suite 213
Los Angeles, CA 90006-2756
Phone (213) 388-5300

National Provider Directory

National Provider Directory

Locations

1001 S Vermont Ave
Ste 213
Los Angeles, CA 90006
Phone (213) 388-5300

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1649527847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S VERMONT AVE",
            "address_2": "SUITE 213",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062756",
            "telephone_number": "213-388-5300",
            "fax_number": "213-738-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S VERMONT AVE",
            "address_2": "SUITE 213",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062756",
            "telephone_number": "213-388-5300",
            "fax_number": "213-738-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDER GROUND STREAM QI ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "GABRIEL DUCK RIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-388-5300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 8707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.