Inner Balance Acupuncture

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INNER BALANCE ACUPUNCTURE

Practice address

22762 Aspan St Ste 201
Lake Forest, CA 92630-1604

Phone

(949) 235-9494

NPI assigned

Jul 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Bret James Ellington, DACM, LACNPI 1033390513

Title

Owner

Phone

(949) 235-9494

Specialties & licenses 1

Addresses

Other names 1

• Inner Balance Acupuncture Doing business as

Locations

Practitioners 1

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

• Bret James Ellington, L.AC.

  • Acupuncturist
  • Lake Forest, CA
  • NPI 1033390513
  NPD (past) Authorized official

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1669994695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23785 EL TORO RD # 111",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304762",
            "telephone_number": "949-235-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22762 ASPAN ST STE 201",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301604",
            "telephone_number": "949-235-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "ELLINGTON",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-235-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACM, LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Balance Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jimin Hwang, L.AC
• Sioud Idris
• Impacting Kidz
• Infinity Kids Corporation
• Inland Psychiatric Medical Group, Inc.
• Innovative Lake Forest Operations, LLC
• Innovative Prosthetic Solutions, Inc
• Insight Health Corp.
• Inspire Diagnostics LLC
• Interim Healthcare Inc.

• Clinic/Center in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.