Phelan Acupuncture & Herbs, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

PHELAN ACUPUNCTURE & HERBS, INC

Practice address

16209 Main St
Hesperia, CA 92345-3559

Phone

(213) 392-2133

NPI assigned

Mar 6, 2019

Organization subpart

No

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

Authorized official

Name

Grace Jung Kim

Title

Owner

Phone

(213) 392-2133

Specialties & licenses 1

Addresses

Other names 1

• PHELAN ACUPUNCTURE & HERBS Doing business as

Locations

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1750849907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 SHEEP CREEK RD",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923718586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16209 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453559",
            "telephone_number": "213-392-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELAN ACUPUNCTURE & HERBS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "JUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-392-2133"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHELAN ACUPUNCTURE & HERBS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon L Pettey, SLPA
• Gurpal S Phaguda, MD
• Brandon Pham
• Don Pham, DO
• Mino Thu Pham, M.D.
• Brande L Phillips
• Jenny Picard
• Jean Wilkerson Pierre
• Iveth Yasmin Pimentel
• Summer Marie Pimentel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.