NPIMap

Organization Active NPI

Lee Acupuncture Wellness Recover Center

  • Acupuncturist
  • Garden Grove, CA
National Provider Identifier
1801300975
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15719 Issued in CA
Legal business name
LEE ACUPUNCTURE WELLNESS RECOVER CENTER
Practice address
13141 Century Blvd
Garden Grove, CA 92843-1211
Phone
(714) 590-3210
Fax
(714) 591-5229
NPI assigned
Nov 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Authorized official

Name
Eun Jung Lee
Title
Owner
Phone
(714) 590-3210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC15719 CA Primary
Clinic/Center 261Q00000X AC15719 CA

Addresses

Primary practice location

13141 Century Blvd
Garden Grove, CA 92843-1211

Mailing address

13141 Century Blvd
Garden Grove, CA 92843-1211
Phone (714) 590-3210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1801300975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13141 CENTURY BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431211",
            "telephone_number": "714-590-3210",
            "fax_number": "714-591-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13141 CENTURY BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431211",
            "telephone_number": "714-590-3210",
            "fax_number": "714-591-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE ACUPUNCTURE WELLNESS RECOVER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EUN",
        "authorized_official_middle_name": "JUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-590-3210"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15719",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "AC15719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.