Organization Active NPI

Aglaia Acupuncture Professional Corporation

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1003301433
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17554 Issued in CA
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

Updated by the provider on Dec 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yunuen Beristain, L.AC.NPI 1306331731
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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
AC17554OtherCAACUPUNCTURE LICENSE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.