Active NPI
Simi Acupuncture Inc
- Acupuncturist
- West Covina, CA
National Provider Identifier
1922502004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC15605
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.