Organization Active NPI

Luzwave Healthy Pathways Inc.

  • Acupuncturist
  • Tustin, CA
National Provider Identifier
1972159531
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LUZWAVE HEALTHY PATHWAYS INC.
Practice address
14662 Newport Ave Ste 105
Tustin, CA 92780-6064
Phone
(949) 540-5486
NPI assigned
Aug 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Eui Soon Kim
Title
Acupuncturist
Phone
(949) 540-5486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

14662 Newport Ave Ste 105
Tustin, CA 92780-6064

Mailing address

17 Spectrum Pointe Dr Ste 506
Lake Forest, CA 92630-2277
Phone (949) 533-6699

National Provider Directory

National Provider Directory

Locations

17 Spectrum Pointe Dr
Ste 506
Lake Forest, CA 92630
Phone (949) 533-6699

14662 Newport Ave
Ste 105
Tustin, CA 92780
Phone (949) 540-5486

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1972159531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SPECTRUM POINTE DR STE 506",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302277",
            "telephone_number": "949-533-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14662 NEWPORT AVE STE 105",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806064",
            "telephone_number": "949-540-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZWAVE HEALTHY PATHWAYS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUI",
        "authorized_official_middle_name": "SOON",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "949-540-5486"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.