One Acupuncture Clinic Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ONE ACUPUNCTURE CLINIC INC

Practice address

11441 Heacock St
Ste B2
Moreno Valley, CA 92557-7907

Phone

(951) 601-0420

Fax

(951) 601-0430

NPI assigned

Mar 31, 2015

Organization subpart

No

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

Authorized official

Name

Bo Y Kim, LACNPI 1750548467

Title

Acupuncturist

Phone

(951) 601-0420

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Bo Y Kim, L.AC.

  • Acupuncturist
  • Moreno Valley, CA
  • NPI 1750548467
  NPD (past) Authorized official
• Soon S Hong

  • Acupuncturist
  • Moreno Valley, CA
  • NPI 1629853445
  NPD (past)

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1730574435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11441 HEACOCK ST",
            "address_2": "STE B2",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577907",
            "telephone_number": "951-601-0420",
            "fax_number": "951-601-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11441 HEACOCK ST",
            "address_2": "STE B2",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577907",
            "telephone_number": "951-601-0420",
            "fax_number": "951-601-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE ACUPUNCTURE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BO",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "951-601-0420",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.