Organization Active NPI

Pro Fortune Medical Group Inc.

  • Acupuncturist
  • La Puente, CA
National Provider Identifier
1053157735
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PRO FORTUNE MEDICAL GROUP INC.
Practice address
218 Glendora Ave
La Puente, CA 91744-4714
Phone
(626) 613-4105
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
You YuNPI 1669109849
Title
Manager
Phone
(626) 991-2229

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 Primary

Addresses

Primary practice location

218 Glendora Ave
La Puente, CA 91744-4714

Mailing address

218 Glendora Ave
La Puente, CA 91744-4714

National Provider Directory

National Provider Directory

Locations

218 Glendora Ave
La Puente, CA 91744
Phone (626) 613-4105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1053157735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 GLENDORA AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917444714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 GLENDORA AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917444714",
            "telephone_number": "626-613-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO FORTUNE MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "YOU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-991-2229"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.