Organization Active NPI

Stemact.Ink

  • Clinic/Center
  • Irvine, CA
National Provider Identifier
1811390743
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC 15771 Issued in CA
Legal business name
STEMACT.INK
Practice address
22 Odyssey
Suite 155
Irvine, CA 92618
Phone
(949) 517-8188
Fax
(949) 381-5584
NPI assigned
Oct 6, 2014
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Ms. Jin Hee Park
Title
Lac
Phone
(949) 517-8188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC 15771 CA Primary

Addresses

Primary practice location

22 Odyssey
Suite 155
Irvine, CA 92618

Mailing address

22 Odyssey Ste 155
Irvine, CA 92618-3194
Phone (949) 517-8188

National Provider Directory

National Provider Directory

Locations

22 Odyssey
Ste 155
Irvine, CA 92618
Phone (949) 207-7650

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1811390743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 155",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183194",
            "telephone_number": "949-517-8188",
            "fax_number": "949-381-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "SUITE 155",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-517-8188",
            "fax_number": "949-381-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEMACT.INK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JIN HEE",
        "authorized_official_title_or_position": "LAC",
        "authorized_official_telephone_number": "949-517-8188",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "AC 15771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.