NPIMap

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
Last updated
Aug 7, 2018By the provider in NPPES
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.ACNPI 1770908170
Title
Ceo
Phone
(626) 960-8877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.