NPIMap

Organization Active NPI

Jingachim Orangewell Acupuncture Clinic P.C.

  • Acupuncturist
  • Downey, CA
National Provider Identifier
1700102415
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10718 Issued in CA
Legal business name
JINGACHIM ORANGEWELL ACUPUNCTURE CLINIC P.C.
Practice address
11422 Old River School Rd
Downey, CA 90241-4407
Phone
(562) 928-8969
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Bong Kwan Park, L.AC.
Title
Owner
Phone
(562) 928-8969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC10718 CA Primary

Addresses

Primary practice location

11422 Old River School Rd
Downey, CA 90241-4407

Mailing address

11422 Old River School Rd
Downey, CA 90241-4407
Phone (562) 928-8969

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1700102415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11422 OLD RIVER SCHOOL RD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414407",
            "telephone_number": "562-928-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11422 OLD RIVER SCHOOL RD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414407",
            "telephone_number": "562-928-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JINGACHIM ORANGEWELL ACUPUNCTURE CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BONG KWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-928-8969",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.