Organization Active NPI

Sungil Manual Medicine and Acupuncture Inc

  • Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1992948731
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AC 11461 Issued in CA
Legal business name
SUNGIL MANUAL MEDICINE AND ACUPUNCTURE INC
Practice address
20391 Bayview Ave
Newport Beach, CA 92660-0709
Phone
(213) 291-5626
NPI assigned
Apr 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Chan Kook Park, L.AC
Title
C.E.O.
Phone
(213) 291-5626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC 11461 CA Primary

Addresses

Primary practice location

20391 Bayview Ave
Newport Beach, CA 92660-0709

Mailing address

12640 Bloomfield Ave Apt 91
Norwalk, CA 90650-1402
Phone (213) 291-5626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1992948731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 BLOOMFIELD AVE APT 91",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906501402",
            "telephone_number": "213-291-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20391 BAYVIEW AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600709",
            "telephone_number": "213-291-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNGIL MANUAL MEDICINE AND ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHAN KOOK",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "213-291-5626",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "AC 11461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.