Organization Active NPI

Socal Acupuncture Pain Mangement Specialist

  • Acupuncturist
  • San Dimas, CA
National Provider Identifier
1780443663
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SOCAL ACUPUNCTURE PAIN MANGEMENT SPECIALIST
Practice address
319 N San Dimas Ave Ste B
San Dimas, CA 91773-2658
Phone
(909) 837-0552
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Dr. Byung Chan LimNPI 1255923348
Title
Clinic Director
Phone
(909) 837-0552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

319 N San Dimas Ave Ste B
San Dimas, CA 91773-2658

Mailing address

319 N San Dimas Ave Ste B
San Dimas, CA 91773-2658
Phone (909) 837-0552

National Provider Directory

National Provider Directory

Locations

319 N San Dimas Ave
Ste B
San Dimas, CA 91773
Phone (909) 837-0552

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1780443663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N SAN DIMAS AVE STE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732658",
            "telephone_number": "909-837-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N SAN DIMAS AVE STE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732658",
            "telephone_number": "909-837-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL ACUPUNCTURE PAIN MANGEMENT SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "BYUNG CHAN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "909-837-0552",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.