Organization Active NPI

Kyung in Acupuncture a Professional Corporation

  • Acupuncturist
  • Anaheim, CA
National Provider Identifier
1952888687
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
KYUNG IN ACUPUNCTURE A PROFESSIONAL CORPORATION
Practice address
3030 W Ball Rd # B
Anaheim, CA 92804-3805
Phone
(310) 738-2808
NPI assigned
Jul 25, 2018
Last updated
Jul 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Soo Bae
Title
President
Phone
(310) 738-2808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

3030 W Ball Rd # B
Anaheim, CA 92804-3805

Mailing address

3030 W Ball Rd # B
Anaheim, CA 92804-3805

National Provider Directory

National Provider Directory

Locations

3030 W Ball Rd
Ste B
Anaheim, CA 92804
Phone (310) 738-2808

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1952888687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 W BALL RD # B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W BALL RD # B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043805",
            "telephone_number": "310-738-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYUNG IN ACUPUNCTURE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "SOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-738-2808"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.