Hae Dong Sung Gook Acupuncture Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11355 Issued in CA

Legal business name

HAE DONG SUNG GOOK ACUPUNCTURE CLINIC

Practice address

300 S. Hobart Blvd.
400
Los Angeles, CA 90020-3698

Phone

(213) 387-7903

Fax

(323) 979-1030

NPI assigned

Apr 15, 2010

Organization subpart

No

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

Authorized official

Name

Dalsook MaNPI 1982928685

Title

President

Phone

(213) 387-7903

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Dalsook Ma

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1982928685
  NPD (past) Authorized official

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1699091660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S. HOBART BLVD.",
            "address_2": "400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203698",
            "telephone_number": "213-387-7903",
            "fax_number": "323-979-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S. HOBART BLVD.",
            "address_2": "400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203698",
            "telephone_number": "213-387-7903",
            "fax_number": "323-979-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAE DONG SUNG GOOK ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "DALSOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-387-7903"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC11355",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Michael Hadidjaja
• Renee Hadley
• Kelly Hadnott-Brown
• Josephine H Haduong, M.D.
• Sabina Hadziabdulahovic, NP
• Jenna Haeflinger-Kurtz
• Mark S. Haendel, MD
• Suzanne Haeri, DDS
• Narineh Haerptyan
• Haeseong Integrative Medicine Center

• 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 Apr 15, 2010; 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.