Los Angeles Center for Integrated Medicine

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

PENDING GRADUATION Issued in CA

Legal business name

LOS ANGELES CENTER FOR INTEGRATED MEDICINE

Practice address

468 N Camden Dr
Beverly Hills, CA 90210-4507

Phone

(310) 497-1774

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Wayne Berry, PENDING GRADUATION

Title

Director of Medicine

Phone

(310) 497-1774

Specialties & licenses 1

Addresses

Other names 1

• Center for Oriental and Integrated Medicine Doing business as

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1053450189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 N CAMDEN DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104507",
            "telephone_number": "310-497-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 N CAMDEN DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104507",
            "telephone_number": "310-497-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES CENTER FOR INTEGRATED MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICINE",
        "authorized_official_telephone_number": "310-497-1774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PENDING GRADUATION"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "PENDING GRADUATION",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Oriental and Integrated Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Victoria Lopez, CRNA
• Jessica Maayan Lopez
• Marlene Cruz Lopez, D.C.
• Peter Alan Lopez, D.C
• Jeremy Lorber, MD
• Los Angeles County Department of Mental Health
• Los Angeles Minimally Invasive Surgery Center, LLC
• Los Angeles Pain Management Medical Group Inc
• Lotus Surgery Center, Inc
• Lou Westphal, MD, Professional Corporation

• Acupuncturist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.