Central Medical Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

CENTRAL MEDICAL CLINIC

Practice address

3207 S Brea Canyon Rd
#B
Diamond Bar, CA 91765-3458

Phone

(909) 595-1586

Fax

(909) 595-1546

NPI assigned

Dec 16, 2016

Organization subpart

No

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

Authorized official

Name

Su Yeon Son, L.AC

Title

Owner

Phone

(909) 595-1586

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1992249452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 S BREA CANYON RD",
            "address_2": "#B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653458",
            "telephone_number": "909-595-1586",
            "fax_number": "909-595-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 S BREA CANYON RD",
            "address_2": "#B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653458",
            "telephone_number": "909-595-1586",
            "fax_number": "909-595-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "SU",
        "authorized_official_middle_name": "YEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-595-1586",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raissa Lizzette Apolinar Carrido
• Evelyn V Catuira, DDS
• Charlene Lopez Celestino
• Central Health Mso, Inc.
• Central Health Plan of California, Inc.
• Central Reference Laboratory Inc
• Gyehyang Cha
• Blessy Chacko, SPEECH-LANGUAGE PATH
• Jose Chafart
• Champions Charter Academy

• Acupuncturist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.