Organization Active NPI

Holistic Apothecary and Preventive Acupuncture, Inc.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1023165370
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4893 Issued in CA
Legal business name
HOLISTIC APOTHECARY AND PREVENTIVE ACUPUNCTURE, INC.
Practice address
6753 Santa Monica Blvd
Los Angeles, CA 90038-1218
Phone
(323) 467-8637
Fax
(323) 957-3023
NPI assigned
Jan 5, 2007
Last updated
Aug 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Herschel Manalo, L.AC.NPI 1891834057
Title
President
Phone
(323) 467-8637

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 AC4893 CA Primary

Addresses

Primary practice location

6753 Santa Monica Blvd
Los Angeles, CA 90038-1218

Mailing address

6753 Santa Monica Blvd
Los Angeles, CA 90038-1218
Phone (323) 467-8637

National Provider Directory

National Provider Directory

Locations

6753 Santa Monica Blvd
Los Angeles, CA 90038
Phone (323) 467-8637

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1023165370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6753 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381218",
            "telephone_number": "323-467-8637",
            "fax_number": "323-957-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6753 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381218",
            "telephone_number": "323-467-8637",
            "fax_number": "323-957-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC APOTHECARY AND PREVENTIVE ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "HERSCHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-467-8637",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4893",
            "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 Aug 22, 2011; 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.