Glory Health Clinic, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC5185 Issued in CA

Legal business name

GLORY HEALTH CLINIC, INC.

Practice address

1818 S Western Ave
303
Los Angeles, CA 90006-5807

Phone

(213) 822-2330

NPI assigned

Oct 24, 2012

Last updated

Oct 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chung Seok Seo

Title

Owner

Phone

(213) 822-2330

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1689927923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 S WESTERN AVE",
            "address_2": "303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065807",
            "telephone_number": "213-822-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S WESTERN AVE",
            "address_2": "303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065807",
            "telephone_number": "213-822-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "CHUNG SEOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-822-2330"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE BOARD",
            "identifier": "AC5185",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Glory Cabanilla Tancinco,M.D. Inc.
• Glory Home Health, Inc.
• Glory Medical Supplies
• Colette Ann Glosman, MA, LMFT
• Jacqueline Glosman
• Bobby Gene Glover Jr I

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.