NPIMap

Organization Active NPI

Elim Acupuncture Group, Inc.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1700311669
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4960 Issued in CA
Legal business name
ELIM ACUPUNCTURE GROUP, INC.
Practice address
2897 W Olympic Blvd
Suite 202
Los Angeles, CA 90006-2639
Phone
(800) 385-1130
Fax
(213) 386-7583
NPI assigned
Apr 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Yeung H Kwon, L.AC.NPI 1124166756
Title
Ceo
Phone
(213) 247-4655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC4960 CA Primary

Addresses

Primary practice location

2897 W Olympic Blvd
Suite 202
Los Angeles, CA 90006-2639

Mailing address

2897 W Olympic Blvd
Suite 202
Los Angeles, CA 90006-2639
Phone (800) 385-1130

Other names 1

  • Elim Wellness Center Former legal business name

National Provider Directory

National Provider Directory

Locations

2897 W Olympic Blvd
Ste 202
Los Angeles, CA 90006
Phone (213) 386-7582

Practitioners & affiliated clinicians

Practitioners 4

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": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1700311669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2897 W OLYMPIC BLVD",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062639",
            "telephone_number": "800-385-1130",
            "fax_number": "213-386-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2897 W OLYMPIC BLVD",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062639",
            "telephone_number": "800-385-1130",
            "fax_number": "213-386-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIM ACUPUNCTURE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "YEUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-247-4655",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elim Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.