Organization Active NPI

TKM Acupuncture One Center

  • Preferred Provider Organization
  • Apple Valley, CA
National Provider Identifier
1669648671
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
AC 12286 Issued in CA
Legal business name
TKM ACUPUNCTURE ONE CENTER
Practice address
18031 US Highway 18
Suite D
Apple Valley, CA 92307-2152
Phone
(760) 242-3255
Fax
(760) 242-3552
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Kyung LeeNPI 1811162589
Title
President
Phone
(760) 242-3255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X AC 12286 CA Primary

Addresses

Primary practice location

18031 US Highway 18
Suite D
Apple Valley, CA 92307-2152

Mailing address

18031 US Highway 18
Suite D
Apple Valley, CA 92307-2152
Phone (760) 242-3255

National Provider Directory

National Provider Directory

Locations

18031 US Highway 18
Ste D
Apple Valley, CA 92307
Phone (760) 242-3255

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": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1669648671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18031 US HIGHWAY 18",
            "address_2": "SUITE D",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072152",
            "telephone_number": "760-242-3255",
            "fax_number": "760-242-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18031 US HIGHWAY 18",
            "address_2": "SUITE D",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072152",
            "telephone_number": "760-242-3255",
            "fax_number": "760-242-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKM ACUPUNCTURE ONE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-3255"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "AC 12286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.