Active NPI
Aglaia Acupuncture Professional Corporation
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1003301433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17554
- Legal business name
- AGLAIA ACUPUNCTURE PROFESSIONAL CORPORATION
- Practice address
- 8929 S Sepulveda Blvd Ste 100
Los Angeles, CA 90045-3616 - Phone
- (310) 878-0789
- NPI assigned
- Jun 27, 2018
- 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
- Yunuen Beristain, L.AC.
- Title
- President
- Phone
- (818) 428-9858
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC17554 | CA | Primary |
Addresses
Primary practice location
8929 S Sepulveda Blvd Ste 100
Los Angeles, CA 90045-3616
Mailing address
8838 De Haviland Ave
Los Angeles, CA 90045-4114
Phone (818) 428-9858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC17554 | Other | CA | ACUPUNCTURE LICENSE |
National Provider Directory
National Provider DirectoryLocations
8929 S Sepulveda Blvd
Ste 310
Los Angeles, CA 90045
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Los Angeles, CA
- NPI 1306331731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701734400000",
"number": "1003301433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8838 DE HAVILAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900454114",
"telephone_number": "818-428-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8929 S SEPULVEDA BLVD STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453616",
"telephone_number": "310-878-0789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGLAIA ACUPUNCTURE PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-27",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A",
"authorized_official_last_name": "BERISTAIN",
"authorized_official_first_name": "YUNUEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-428-9858",
"authorized_official_credential": "L.AC."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE LICENSE",
"identifier": "AC17554",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.