Family Tree Health.Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FAMILY TREE HEALTH.INC

Doing business as

Family Tree Wellness

Practice address

20627 Golden Springs Dr Ste 1J
Diamond Bar, CA 91789-4815

Phone

(909) 903-0102

NPI assigned

Oct 21, 2024

Last updated

Oct 21, 2024By 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

Jin Hee Park, L.AC

Title

Owner

Phone

(909) 903-0102

Specialties & licenses 1

Addresses

Other names 1

• Family Tree Wellness Doing business as

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.

• Jin Hee Park, L.AC.

  • Acupuncturist
  • Irvine, CA
  • NPI 1457749624
  NPD

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1932920055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20627 GOLDEN SPRINGS DR STE 1J",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917894815",
            "telephone_number": "909-903-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20627 GOLDEN SPRINGS DR STE 1J",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917894815",
            "telephone_number": "909-903-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE HEALTH.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "HEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-903-0102",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Tree Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.