Min Clinic Corporation

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MIN CLINIC CORPORATION

Practice address

18710 Amar Rd Ste B
Walnut, CA 91789-4571

Phone

(626) 701-8666

NPI assigned

Dec 2, 2020

Last updated

Dec 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Min Gong, LACNPI 1043798754

Title

President

Phone

(626) 701-8666

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, and the practitioner matching its NPPES authorized official.

• Min Gong

  • Acupuncturist
  • Walnut, CA
  • NPI 1043798754
  NPD Authorized official

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1932704319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18710 AMAR RD STE B",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894571",
            "telephone_number": "626-701-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18710 AMAR RD STE B",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894571",
            "telephone_number": "626-701-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIN CLINIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-701-8666",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Mendoza
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• Kamran Mondegari, DC

• Acupuncturist in Walnut, CA
• Providers in Walnut, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.