Evergreen Natural Medicine and Acupuncture Corp.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC4171 Issued in CA

Legal business name

EVERGREEN NATURAL MEDICINE AND ACUPUNCTURE CORP.

Doing business as

Acupuncture and Natural Medicine Clinic of Glendora

Practice address

102 W Route 66 Ste D
Glendora, CA 91740-6247

Phone

(626) 963-6878

Fax

(626) 963-6881

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yong Xin Hu, LAC

Title

Owner

Phone

(626) 963-6878

Specialties & licenses 1

Addresses

Other names 1

• ACUPUNCTURE AND NATURAL MEDICINE CLINIC OF GLENDORA Doing business as

Locations

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.

• Yong Xin Qin, LAC

  • Acupuncturist
  • Glendora, CA
  • NPI 1740316439
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033284575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W ROUTE 66 STE D",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406247",
            "telephone_number": "626-963-6878",
            "fax_number": "626-963-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W ROUTE 66 STE D",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406247",
            "telephone_number": "626-963-6878",
            "fax_number": "626-963-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN NATURAL MEDICINE AND ACUPUNCTURE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HU",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "XIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-963-6878",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACUPUNCTURE AND NATURAL MEDICINE CLINIC OF GLENDORA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Estrada, B.S.
• Romelda Capitly Estrada, NP
• Michal Estrela, RN
• Edgar Sunglao Evangelista, NP
• Jeri Lee Evans, B.S.
• Evergreen Shop Pharmacy Inc (Evergreen Shop Pharmacy)
• Brittany Everson, DPM
• Eyenez Integrated Managed Eye Care Network, a Medical Group, Inc.
• Fadda MD Inc a P C
• Falamack Zaltash D.D.S Inc., (Covina Dental Office)

• Acupuncturist in Glendora, CA
• Providers in Glendora, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.