Organization Active NPI

Re Nu Mi Wellness Center, Inc.

  • Acupuncturist
  • Redondo Beach, CA
National Provider Identifier
1902045230
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3059 Issued in CA
Legal business name
RE NU MI WELLNESS CENTER, INC.
Practice address
901 N Pacific Coast Hwy
Ste 106
Redondo Beach, CA 90277-2162
Phone
(310) 379-0852
Fax
(310) 379-0897
NPI assigned
Feb 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
John J Kim, LAC
Title
President
Phone
(310) 379-0852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC3059 CA Primary

Addresses

Primary practice location

901 N Pacific Coast Hwy
Ste 106
Redondo Beach, CA 90277-2162

Mailing address

901 N Pacific Coast Hwy
Ste 106
Redondo Beach, CA 90277-2162
Phone (310) 379-0852

Other identifiers 1

IdentifierTypeStateIssuer
AC3059OtherCACA ACUPUNCTURE LICENSE

National Provider Directory

National Provider Directory

Locations

901 N Pacific Coast Hwy
Ste 106
Redondo Beach, CA 90277
Phone (310) 362-3043

Practitioners & affiliated clinicians

Practitioners 3

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": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1902045230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N PACIFIC COAST HWY",
            "address_2": "STE 106",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772162",
            "telephone_number": "310-379-0852",
            "fax_number": "310-379-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N PACIFIC COAST HWY",
            "address_2": "STE 106",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772162",
            "telephone_number": "310-379-0852",
            "fax_number": "310-379-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE NU MI WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-379-0852",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA ACUPUNCTURE LICENSE",
            "identifier": "AC3059",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.