NPIMap

Organization Active NPI

Dunamis Acupuncture & Herb Clinic, Inc

  • Acupuncturist
  • Fullerton, CA
National Provider Identifier
1861716300
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11636 Issued in CA
Legal business name
DUNAMIS ACUPUNCTURE & HERB CLINIC, INC
Practice address
1418 S Euclid St
Fullerton, CA 92832-3135
Phone
(714) 578-0580
Fax
(714) 578-0585
NPI assigned
Mar 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Mrs. Min Kyung Kim
Title
Acupuncturist
Phone
(714) 578-0580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC11636 CA Primary

Addresses

Primary practice location

1418 S Euclid St
Fullerton, CA 92832-3135

Mailing address

1418 S Euclid St
Fullerton, CA 92832-3135
Phone (714) 578-0580

National Provider Directory

National Provider Directory
Tax ID family
Dunamis Acupuncture Herb Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1861716300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 S EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323135",
            "telephone_number": "714-578-0580",
            "fax_number": "714-578-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323135",
            "telephone_number": "714-578-0580",
            "fax_number": "714-578-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNAMIS ACUPUNCTURE & HERB CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIN KYUNG",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "714-578-0580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.