NPIMap

Organization Active NPI

Integrative Professional Acupuncture Service, Inc.

  • Acupuncturist
  • Sherman Oaks, CA
National Provider Identifier
1043542384
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5430 Issued in CA
Legal business name
INTEGRATIVE PROFESSIONAL ACUPUNCTURE SERVICE, INC.
Practice address
5522 Sepulveda Blvd
Sherman Oaks, CA 91411-3437
Phone
(818) 988-7988
Fax
(818) 988-7588
NPI assigned
Feb 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Ms. Ellen Jane Rudolph
Title
Executive Director
Phone
(818) 988-7988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 5430 CA Primary

Addresses

Primary practice location

5522 Sepulveda Blvd
Sherman Oaks, CA 91411-3437

Mailing address

5522 Sepulveda Blvd
Sherman Oaks, CA 91411-3437
Phone (818) 988-7988

Other names 1

  • Life Cycle Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1043542384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 SEPULVEDA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113437",
            "telephone_number": "818-988-7988",
            "fax_number": "818-988-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 SEPULVEDA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113437",
            "telephone_number": "818-988-7988",
            "fax_number": "818-988-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PROFESSIONAL ACUPUNCTURE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-988-7988",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "5430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Cycle Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.