Organization Active NPI

Acubalance Clinic

  • Acupuncturist
  • La Habra, CA
National Provider Identifier
1770152449
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ACUBALANCE CLINIC
Doing business as
Acubalance Clinic
Practice address
1201 S Beach Blvd Ste 102
La Habra, CA 90631-9700
Phone
(562) 902-1010
Fax
(800) 650-9114
NPI assigned
Jun 17, 2021
Last updated
Jun 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Mr. Harrison Joungku Kim
Title
Owner
Phone
(562) 902-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

1201 S Beach Blvd Ste 102
La Habra, CA 90631-9700

Mailing address

1201 S Beach Blvd Ste 102
La Habra, CA 90631-9700
Phone (562) 902-1010

Other names 1

  • ACUBALANCE CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

1201 S Beach Blvd
Ste 102
La Habra, CA 90631
Phone (562) 902-1010

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1770152449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S BEACH BLVD STE 102",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319700",
            "telephone_number": "562-902-1010",
            "fax_number": "800-650-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S BEACH BLVD STE 102",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319700",
            "telephone_number": "562-902-1010",
            "fax_number": "800-650-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUBALANCE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HARRISON",
        "authorized_official_middle_name": "JOUNGKU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-902-8787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACUBALANCE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACUBALANCE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.