Sang Sang Dang Medical Acu. Group, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 5220 Issued in CA

Legal business name

SANG SANG DANG MEDICAL ACU. GROUP, INC.

Practice address

11540 Santa Monica Blvd
#203
West Los Angeles, CA 90025-7905

Phone

(310) 268-0268

Fax

(310) 914-7633

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Bon Cho, L. AC.

Title

President

Phone

(310) 268-0268

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1740460195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11540 SANTA MONICA BLVD",
            "address_2": "#203",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "900257905",
            "telephone_number": "310-268-0268",
            "fax_number": "310-914-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 SANTA MONICA BLVD",
            "address_2": "#203",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "900257905",
            "telephone_number": "310-268-0268",
            "fax_number": "310-914-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG SANG DANG MEDICAL ACU. GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "BON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-268-0268",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 5220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in West Los Angeles, CA
• Providers in West 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 Nov 13, 2007; 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.