SOUTH BAYLO CLINIC (NPI# 1063844421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063844421 |
| Entity Type | Organization |
| Organization Name | SOUTH BAYLO CLINIC |
| Other Organization Name | SOUTH BAYLO UNIVERSITY VA CLINIC |
| Practice Address |
7535 Little River Turnpike 310e Annandale VA 22003 |
| Practice Telephone | 7036427527 |
| Practice Fax Number | 7036427528 |
| Mailing Telephone | 7036427527 |
| Mailing Fax Number | 7036427528 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |
| Authorized Official Name | MR. TAE O KIM (FINANCIAL OFFICER) |
| Authorized Official Telephone | 7037626048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 0121000694 | VA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| South Baylo University VA Clinic | Doing Business As Name - Organization |
| Street Address |
7535 LITTLE RIVER TURNPIKE 310E |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| 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 |
|---|---|---|---|---|
| 1437636388 | Paul Acupuncture and Wellness | Acupuncturist | 7004 Little River Tpke # 2f, Annandale, VA 22003-5965 | 2018-07-24 |
| 1720579295 | Sung Hoon Hong | Acupuncturist | 4231 Markham St Ste 224, Annandale, VA 22003-3023 | 2018-05-21 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1003260860 | Yedam Well-being Center Inc | Acupuncturist | 4600 John Marr Dr Ste 402, Annandale, VA 22003-3310 | 2016-04-19 |
| 1710359641 | Insarang Corporation | Acupuncturist | 6926 Little River Tpke Ste A, Annandale, VA 22003-3246 | 2015-10-30 |
| 1760874051 | Young Ki Kim | Acupuncturist | 7361 Mcwhorter Pl Ste 300, Annandale, VA 22003-5649 | 2015-02-24 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| 1811391485 | Hyung Sik Byeon | Acupuncturist | 7004 Little River Tpke Ste F, Annandale, VA 22003-3201 | 2014-10-10 |
| 1124387469 | Sarah D Petty | Acupuncturist | 5021 Backlick Rd, Annandale, VA 22003-6043 | 2012-05-07 |
| 1437438199 | Meree Yun | Acupuncturist | 7002 Little River Tpke Ste A, Annandale, VA 22003-3200 | 2011-08-12 |
| Find all providers in ANNANDALE | ||||
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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.