Haeseong Integrative Medicine Center

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC14308 Issued in CA

Legal business name

HAESEONG INTEGRATIVE MEDICINE CENTER

Practice address

505 S Virgil Ave Ste 306
Los Angeles, CA 90020-1455

Phone

(213) 944-0214

Fax

(213) 603-8000

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. On Jung ParkNPI 1619254190

Title

Acupuncturist/ Clinical Director

Phone

(213) 944-0214

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• On Jung Park, LA.C

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1619254190
  NPD Authorized official

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1912410879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE STE 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201455",
            "telephone_number": "213-944-0214",
            "fax_number": "213-603-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE STE 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201455",
            "telephone_number": "213-944-0214",
            "fax_number": "213-603-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAESEONG INTEGRATIVE MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ON JUNG",
        "authorized_official_title_or_position": "ACUPUNCTURIST/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "213-944-0214",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hae Dong Sung Gook Acupuncture Clinic
• Jenna Haeflinger-Kurtz
• Mark S. Haendel, MD
• Suzanne Haeri, DDS
• Narineh Haerptyan
• Lindsay Hafer
• Navid Hafez, M.D.
• Tara Haffener
• Ingrid Linnettee Haffey
• Katherine Maccorkell Hafiz, OTR/L

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.