Active NPI
Sungil Manual Medicine and Acupuncture Inc
- Clinic/Center
- Newport Beach, CA
National Provider Identifier
1992948731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- AC 11461
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.