Organization Active NPI

Simi Acupuncture Inc

  • Acupuncturist
  • West Covina, CA
National Provider Identifier
1922502004
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15605 Issued in CA
Legal business name
SIMI ACUPUNCTURE INC
Practice address
1433 W Merced Ave Ste 324
West Covina, CA 91790
Phone
(626) 960-8877
Fax
(877) 315-3777
NPI assigned
Mar 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
Sang Soo Park, L.AC
Title
Ceo
Phone
(626) 960-8877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC15605 CA Primary

Addresses

Primary practice location

1433 W Merced Ave Ste 324
West Covina, CA 91790

Mailing address

1433 W Merced Ave Ste 324
West Covina, CA 91790-3419
Phone (626) 960-8877

National Provider Directory

National Provider Directory

Locations

1433 W Merced Ave
Ste 324
West Covina, CA 91790
Phone (626) 960-8877

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1922502004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE STE 324",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903419",
            "telephone_number": "626-960-8877",
            "fax_number": "877-315-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE STE 324",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-8877",
            "fax_number": "877-315-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SANG SOO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-960-8877",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.