In Sung Service, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AC 11329 Issued in CA

Legal business name

IN SUNG SERVICE, INC.

Practice address

1134 S Western Ave
B2
Los Angeles, CA 90006-2366

Phone

(213) 283-6166

NPI assigned

Oct 26, 2010

Organization subpart

No

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

Authorized official

Name

Bon Ja Shin

Title

President

Phone

(213) 283-6166

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1891095683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 S WESTERN AVE",
            "address_2": "B2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062366",
            "telephone_number": "213-283-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 S WESTERN AVE",
            "address_2": "B2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062366",
            "telephone_number": "213-283-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN SUNG SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "BON JA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-283-6166"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "AC 11329",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.