NPIMap

Organization Active NPI

Circle Oriental Medicine Clinic Inc

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1649533043
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12191 Issued in CA
Legal business name
CIRCLE ORIENTAL MEDICINE CLINIC INC
Practice address
3053 W Olympic Blvd Ste 311
Los Angeles, CA 90006-2558
Phone
(213) 384-4589
Fax
(714) 906-9182
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. Chan Su Park, AC
Title
Director
Phone
(213) 384-4589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC12191 CA Primary

Addresses

Primary practice location

3053 W Olympic Blvd Ste 311
Los Angeles, CA 90006-2558

Mailing address

3053 W Olympic Blvd Ste 311
Los Angeles, CA 90006-2558
Phone (213) 384-4589

National Provider Directory

National Provider Directory

Locations

3053 W Olympic Blvd
Ste 311
Los Angeles, CA 90006
Phone (213) 384-4589

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1649533043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W OLYMPIC BLVD STE 311",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062558",
            "telephone_number": "213-384-4589",
            "fax_number": "714-906-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 W OLYMPIC BLVD STE 311",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062558",
            "telephone_number": "213-384-4589",
            "fax_number": "714-906-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE ORIENTAL MEDICINE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHAN",
        "authorized_official_middle_name": "SU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "213-384-4589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12191",
            "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 Jun 20, 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.