PURE WAVE MEDICAL GROUP INC (NPI# 1477900231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477900231 |
| Entity Type | Organization |
| Organization Name | PURE WAVE MEDICAL GROUP INC |
| Practice Address |
614 S Brea Blvd Brea CA 92821-5307 |
| Mailing Address |
1679 Avenida Selva Fullerton CA 92833-1560 |
| Practice Telephone | 7146812785 |
| Mailing Telephone | 7146812785 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | JONGHAN KANG (CEO) |
| Authorized Official Telephone | 7146812785 |
| Authorized Official Credential | L.AC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | 56189 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 171100000X | Acupuncturist | 16982 | CA | Other Service Providers |
| Street Address |
614 S BREA BLVD |
| City | BREA |
| State | CA |
| Zip Code | 92821-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558757179 | Saira Zimmerman | Chiropractor | 614 S Brea Blvd, Brea, CA 92821 | 2015-04-09 |
| 1043838832 | Samantha Ellen Morones | Chiropractor | 614 S Brea Blvd, Brea, CA 92821-5307 | 2020-07-08 |
| 1205461407 | Saira Zimmerman Chiropractic, Inc. | Chiropractor | 614 S Brea Blvd, Brea, CA 92821-5307 | 2020-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844921 | Christina Marie Iezza | Physical Medicine & Rehabilitation | 500 W. Central Ave, Suite B, Brea, CA 92821 | 2020-02-28 |
| 1962052068 | Joanne Chung | Behavioral Analyst | 3050 Saturn Street, #102, Brea, CA 92821 | 2019-09-19 |
| 1508336736 | Sonia Montez | Physical Therapy Assistant | Jump N Schout, 500 W Central Ave, Brea, CA 92821 | 2018-11-30 |
| 1215411921 | Eye View Optometry, Inc | Optometrist | 605 E. Imperial Hwy, Suite C, Brea, CA 92821 | 2018-09-18 |
| 1700395480 | Sheetal Patel | Registered Nurse | 955 W. Imperial Hwy., Suite 220, Brea, CA 92821 | 2017-09-25 |
| 1952827826 | Grace Cho | Occupational Therapist | 875 N Brea Blvd # 600, Brea, CA 92821 | 2017-08-22 |
| 1063959781 | Veronica Meza | Lactation Consultant, Non-RN | 551 Discovery Lane, #115, Brea, CA 92821 | 2017-01-20 |
| 1780045815 | Audrey Alva | Specialist/Technologist | 460 W. Lambert Road, Brea, CA 92821 | 2016-03-17 |
| 1558734921 | Eun Kim Chiropractic Inc | Chiropractor | 411 Atlas Street, Suite A, Brea, CA 92821 | 2015-11-07 |
| 1053784512 | Caremore Health Plan | Nurse Practitioner | 420 W. Central Avenue #a, Brea, CA 92821 | 2015-11-05 |
| Find all providers in zip 92821 | ||||
| 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 |
|---|---|---|---|---|
| 1801322383 | Omc Rehab & Acupuncture Inc. | Acupuncturist | 996 Evening Canyon Rd, Brea, CA 92821-2612 | 2017-05-03 |
| 1407391717 | Shangri-la Acupuncture | Acupuncturist | 1211 W Imperial Hwy Ste 102, Brea, CA 92821-3732 | 2016-12-21 |
| 1174075733 | Shangri-la Acupuncture and Herbal Clinic | Acupuncturist | 1211 W Imperial Hwy, Suite 102, Brea, CA 92821-3724 | 2016-10-31 |
| 1568833853 | Hee Jin Yang | Acupuncturist | 315 N Associated Rd Apt 901, Brea, CA 92821-4310 | 2015-10-12 |
| 1801283361 | Tobin Acupuncture & Health, Inc. | Acupuncturist | 710 N Brea Blvd Ste F, Brea, CA 92821-3354 | 2015-04-22 |
| 1578960928 | Gabriela Underwood | Acupuncturist | 690 Oakhaven Ave, Us, Brea, CA 92823-6331 | 2014-12-01 |
| 1093130684 | Seung Yong Park | Acupuncturist | 1231 W Central Ave Ste B, Brea, CA 92821-2444 | 2014-02-19 |
| 1770922486 | Ancient Wellness Consultant Co. | Acupuncturist | 411 W Lambert Rd, Brea, CA 92821-3915 | 2013-06-17 |
| 1639425374 | Victoria Jin Lee | Acupuncturist | 860 W Imperial Hwy, #j, Brea, CA 92821-3810 | 2012-07-31 |
| 1427323039 | Jeong Hun Yoon | Acupuncturist | 1255 W Central Ave, Brea, CA 92821-2407 | 2012-03-14 |
| Find all providers in BREA | ||||
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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.