Organization Active NPI

Y.Y. Wellness Center

  • Health Maintenance Organization
  • Newport Beach, CA
National Provider Identifier
1790857431
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
AC8452 Issued in CA
Legal business name
Y.Y. WELLNESS CENTER
Practice address
220 Newport Center Dr
Ste 20
Newport Beach, CA 92660-7506
Phone
(949) 718-0012
Fax
(949) 718-0012
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Woo H. Chung, L.AC.,PHD
Title
President
Phone
(949) 718-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X AC8452 CA Primary

Addresses

Primary practice location

220 Newport Center Dr
Ste 20
Newport Beach, CA 92660-7506

Mailing address

220 Newport Center Dr
Ste 20
Newport Beach, CA 92660-7506
Phone (949) 718-0012

Other identifiers 1

IdentifierTypeStateIssuer
DOC ID 1051079OtherCALAC., PHD

National Provider Directory

National Provider Directory

Locations

220 Newport Center Dr
Ste 20
Newport Beach, CA 92660
Phone (949) 718-0012

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790857431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NEWPORT CENTER DR",
            "address_2": "STE 20",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607506",
            "telephone_number": "949-718-0012",
            "fax_number": "949-718-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NEWPORT CENTER DR",
            "address_2": "STE 20",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607506",
            "telephone_number": "949-718-0012",
            "fax_number": "949-718-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y.Y. WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "WOO",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-718-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC.,PHD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "AC8452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAC., PHD",
            "identifier": "DOC ID 1051079",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.