Balboa Acupuncture Clinic Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC9921 Issued in CA

Legal business name

BALBOA ACUPUNCTURE CLINIC INC.

Practice address

10515 Balboa Blvd.
Suite 175
Granada Hills, CA 91344

Phone

(818) 368-3020

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Jeong Guk Oh, L, AC.NPI 1689720930

Title

Owner/Acupuncturist

Phone

(818) 368-3020

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jeong Guk Oh, L.AC

  • Acupuncturist
  • Granada Hills, CA
  • NPI 1689720930
  NPD (past) Authorized official
• Eun Kyoung Yom

  • Acupuncturist
  • Valencia, CA
  • NPI 1427596410
  NPD (past)

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1679728281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD",
            "address_2": "SUITE # 175",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446343",
            "telephone_number": "818-368-3020",
            "fax_number": "818-368-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD.",
            "address_2": "SUITE 175",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-368-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALBOA ACUPUNCTURE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "JEONG",
        "authorized_official_middle_name": "GUK",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "818-368-3020",
        "authorized_official_credential": "L, AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Baghdasaryan, DDS
• Margarit Baghdasaryan, FNP
• Lori Baghdassarian
• Brandy Bailey, MCW II
• Edward Anthony Bakchadjian, EMT
• Tatiana Alin Balian
• Takako Ball, PSYD
• Jichelle Cataquiz Bandoquillo, RPT
• Bantay Residential Care Inc.
• Ken Iven Bantol, PMHNP-BC

• Acupuncturist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.