Onnuri-3004,Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC8225 Issued in CA

Legal business name

ONNURI-3004,INC.

Practice address

250 N Robertson Blvd Ste 516
Beverly Hills, CA 90211-1789

Phone

(310) 859-7696

Fax

(310) 859-7699

NPI assigned

May 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Eun J Song, L.AC. PH.D.

Title

Owner/ Acupuncturist

Phone

(310) 859-7696

Specialties & licenses 1

Addresses

Other names 1

• 3 Angels Health and Wellness Doing business as

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1790196913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD STE 516",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111789",
            "telephone_number": "310-859-7696",
            "fax_number": "310-859-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD STE 516",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111789",
            "telephone_number": "310-859-7696",
            "fax_number": "310-859-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONNURI-3004,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "EUN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ ACUPUNCTURIST",
        "authorized_official_telephone_number": "310-859-7696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC. PH.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3 Angels Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.