So Cal Integrated Medical Group

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

SO CAL INTEGRATED MEDICAL GROUP

Practice address

133 N Prairie Ave
Inglewood, CA 90301-4878

Phone

(213) 245-8480

NPI assigned

Jun 18, 2020

Last updated

Jun 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seung Wan Hong, LACNPI 1497056832

Title

Ceo

Phone

(213) 245-8480

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seung Wan Hong, L.AC

  • Acupuncturist
  • Inglewood, CA
  • NPI 1497056832
  NPD Authorized official

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1740806538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S FLOWER ST UNIT 613",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152298",
            "telephone_number": "213-245-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014878",
            "telephone_number": "213-245-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO CAL INTEGRATED MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "SEUNG WAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-245-8480",
        "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": []
}

• Kristiana Smith
• Lashaun Smith
• Noelle Smith, RN
• Smitty Medical Supply Inc.
• Pamela Snow
• So Cal Mental Health, P.C.
• Carina Megan So, OTR/L
• Mirian Antonia Soba
• Soco Rey Therapy, a Licensed Clinical Social Worker Corp
• Soheil Hekmat, MD, Inc. (Hillcrest Medical Clinic)

• Acupuncturist in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.