Phoenix Health Care

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16212 Issued in CA

Legal business name

PHOENIX HEALTH CARE

Practice address

1754 Technology Dr
Suite 102
San Jose, CA 95110-1308

Phone

(408) 707-3030

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Ray Kim

Title

Acupuncturist/Herbalist

Phone

(408) 707-3030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1679970412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 E JULIAN ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123313",
            "telephone_number": "408-707-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 TECHNOLOGY DR",
            "address_2": "SUITE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951101308",
            "telephone_number": "408-707-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "ACUPUNCTURIST/HERBALIST",
        "authorized_official_telephone_number": "408-707-3030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in San Jose, CA
• Providers in San Jose, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.