Active NPI
Sun Mun Jang, LAC
- Acupuncturist
- Pomona, CA
National Provider Identifier
1891139440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC14512
- Practice address
- 445 N Garey Ave
Suite 4a
Pomona, CA 91767-5422 - Phone
- (213) 210-9711
- NPI assigned
- Apr 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC14512 | CA | Primary |
Addresses
Primary practice location
445 N Garey Ave
Suite 4a
Pomona, CA 91767-5422
Mailing address
445 N Garey Ave
Suite 4a
Pomona, CA 91767-5422
Phone (213) 210-9711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC14512 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Tree & Wellness Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1356703789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1891139440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 N GAREY AVE",
"address_2": "SUITE 4A",
"city": "POMONA",
"state": "CA",
"postal_code": "917675422",
"telephone_number": "213-210-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 N GAREY AVE",
"address_2": "SUITE 4A",
"city": "POMONA",
"state": "CA",
"postal_code": "917675422",
"telephone_number": "213-210-9711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "SUN MUN",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-25",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC14512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.