Organization Active NPI

Kris Acupuncture, Inc

  • Acupuncturist
  • Garden Grove, CA
National Provider Identifier
1881905339
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8176 Issued in CA
Legal business name
KRIS ACUPUNCTURE, INC
Practice address
8322 Garden Grove BL
Garden Grove, CA 92844
Phone
(714) 590-1426
Fax
(714) 590-1457
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Kwangbum Lee, LAC
Title
President
Phone
(714) 590-1426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC8176 CA Primary

Addresses

Primary practice location

8322 Garden Grove BL
Garden Grove, CA 92844

Mailing address

8322 Garden Grove BL
Garden Grove, CA 92844
Phone (714) 590-1426

Other identifiers 1

IdentifierTypeStateIssuer
AC8176OtherCAACUPUNCTURE

National Provider Directory

National Provider Directory

Locations

8322 Garden Grove Blvd
Garden Grove, CA 92844
Phone (714) 590-1426

Practitioners & affiliated clinicians

Practitioners 1

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": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1881905339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 GARDEN GROVE BL",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92844",
            "telephone_number": "714-590-1426",
            "fax_number": "714-590-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 GARDEN GROVE BL",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92844",
            "telephone_number": "714-590-1426",
            "fax_number": "714-590-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KWANGBUM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-590-1426",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC8176",
            "state": "CA"
        }
    ],
    "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 Jun 30, 2010; 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.