Active NPI
Jennifer Ghobrial Haroun, LAC
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1003307190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 18038
- Practice address
- 12112 W Washington Blvd
Los Angeles, CA 90066-5514 - Phone
- (424) 501-4391
- NPI assigned
- May 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 18038 | CA | Primary |
Addresses
Primary practice location
12112 W Washington Blvd
Los Angeles, CA 90066-5514
Mailing address
8101 Reading Ave
Los Angeles, CA 90045-4347
Phone (310) 963-1568
Other practice location 1
6607 W 80th St Ste A
Los Angeles, CA 90045-1166
Phone (310) 591-9330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18038 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1003307190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 READING AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900454347",
"telephone_number": "310-963-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12112 W WASHINGTON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665514",
"telephone_number": "424-501-4391"
}
],
"practiceLocations": [
{
"address_1": "6607 W 80th St Ste A",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900451166",
"country_code": "US",
"telephone_number": "310-591-9330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAROUN",
"first_name": "JENNIFER",
"middle_name": "GHOBRIAL",
"name_prefix": "Mrs.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-23",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "18038",
"primary": true
}
],
"identifiers": [],
"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 May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.