NPIMap

Organization Active NPI

Seoul Acupuncture Clinic LLC

  • Pain Clinic/Center
  • Centreville, VA
National Provider Identifier
1679089957
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
SEOUL ACUPUNCTURE CLINIC LLC
Practice address
13880 Braddock Rd Ste 105
Centreville, VA 20121-2460
Phone
(703) 815-1870
NPI assigned
Dec 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Sanggoo LeeNPI 1275869471
Title
Acupuncturist
Phone
(703) 815-1870

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
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

13880 Braddock Rd Ste 105
Centreville, VA 20121-2460

Mailing address

13880 Braddock Rd Ste 105
Centreville, VA 20121-2460
Phone (703) 815-1870

National Provider Directory

National Provider Directory

Locations

13880 Braddock Rd
Ste 105
Centreville, VA 20121
Phone (703) 815-1870

Practitioners & affiliated clinicians

Practitioners 2

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": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1679089957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 105",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212460",
            "telephone_number": "703-815-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 105",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212460",
            "telephone_number": "703-815-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEOUL ACUPUNCTURE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANGGOO",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "703-815-1870"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.