GRACE SEONG EUN IM (NPI# 1013523166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013523166 |
| Entity Type | Individual |
| Full Name | GRACE SEONG EUN IM |
| Credential | OMD |
| Practice Address |
3030 S Jones Blvd Ste 107 Las Vegas NV 89146-6793 |
| Mailing Address |
5618 Alta Peak Ct Las Vegas NV 89118-1905 |
| Practice Telephone | 7027082207 |
| Practice Fax Number | 8888094639 |
| Mailing Telephone | 7022450160 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 2038 | NV | Other Service Providers |
| Street Address |
3030 S JONES BLVD STE 107 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-6793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254138 | Jae Eun Jeong | Acupuncturist | 8993 W Flamingo Rd Ste 102, Las Vegas, NV 89147-0440 | 2020-01-17 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1649811878 | Humberto Restrepo | Acupuncturist | 5594 S Fort Apache Rd, Las Vegas, NV 89148-3610 | 2019-09-29 |
| 1992269278 | Susan Leigh Rosenberger | Acupuncturist | 9345 S Cimarron Rd Ste 115, Las Vegas, NV 89178-2505 | 2019-01-30 |
| 1477076081 | Joel Nathan Rios | Acupuncturist | 5820 S Pecos Rd Ste 100, Las Vegas, NV 89120 | 2017-07-25 |
| 1598155368 | Bernadette Lujan | Acupuncturist | 505 National Ave, Suite 2, Las Vegas, NM 87701-4319 | 2015-01-30 |
| 1598190258 | Chia Hua Chow | Acupuncturist | 7341 W. Charleston Blvd. #140, Las Vegas, NV 89117 | 2013-09-12 |
| 1194064253 | Ping Xu | Acupuncturist | 5288 Spring Mountain Rd Ste 250, Las Vegas, NV 89146-8735 | 2013-02-10 |
| 1770896458 | Lok Acupuncture Clinic, Ltd | Acupuncturist | 1818 E Desert Inn Rd, Las Vegas, NV 89169-3209 | 2010-07-22 |
| 1437461837 | Alyssa J Wampole | Acupuncturist | 4700 S Maryland Pkwy Ste 2, Las Vegas, NV 89119-6318 | 2010-07-14 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.