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1023331766 NPI number — HARVEST HEALTH CLINIC FOR ACUPUNCTURE, INC.

NPI Number: 1023331766
Health Care Provider/Practitioner: HARVEST HEALTH CLINIC FOR ACUPUNCTURE, INC.

Information about “1023331766” NPI (HARVEST HEALTH CLINIC FOR ACUPUNCTURE, INC.) exists in 1023331766 in HTML format HTML  |  1023331766 in plain Text format TXT  |  1023331766 in PDF (Portable Document Format) PDF  |  1023331766 in an XML format XML  formats.

NPI Number : 1023331766 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023331766",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HARVEST HEALTH CLINIC FOR ACUPUNCTURE, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "801 N TUSTIN AVE",
    "SecondLineMailingAddress": "302",
    "MailingAddressCityName": "SANTA ANA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92705-3612",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-564-0226",
    "MailingAddressFaxNumber": "888-510-0082",
    "FirstLinePracticeLocationAddress": "801 N TUSTIN AVE",
    "SecondLinePracticeLocationAddress": "702",
    "PracticeLocationAddressCityName": "SANTA ANA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92705-3612",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-564-0226",
    "PracticeLocationAddressFaxNumber": "866-406-6113",
    "EnumerationDate": "03/09/2010",
    "LastUpdateDate": "06/14/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PARK",
    "AuthorizedOfficialFirstName": "JUNGHWA",
    "AuthorizedOfficialMiddleName": "SARAH",
    "AuthorizedOfficialTitle": "MEMBER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DAOM, MSAOM, LAC",
    "AuthorizedOfficialTelephoneNumber": "714-564-0226",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC13080",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "DC29675",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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