Jia Guo, D.O.M., L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

KO000598 Issued in PA

Practice address

4990 State Rd
Store # 7
Drexel Hill, PA 19026-4635

Phone

(610) 628-9220

Fax

(610) 628-9214

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oriental Acu Herb LLC

  • Acupuncturist
  • Drexel Hill, PA
  • NPI 1912189234
  NPD (past) Authorized official

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1033309018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 LINDALE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263908",
            "telephone_number": "610-628-9220",
            "fax_number": "610-628-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 STATE RD",
            "address_2": "STORE # 7",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264635",
            "telephone_number": "610-628-9220",
            "fax_number": "610-628-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "JIA",
        "credential": "D.O.M., L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "KO000598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Graham
• Gail Graves
• Kimberly Green, LPC
• Holly Grishkat
• Joseph G Grover, MD
• Gurpreet Kochar MD-PC
• Patricia Dunn Gutsche, D.M.D.
• Michael Haas, DMD
• Patricia M Haase, CRNP
• Francis McGill Hadden, LPC

• Acupuncturist in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.