Julie Reyes, MAOM, LAC, DC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16117 Issued in CA

Practice address

23101 Lake Center Dr Ste 230
Lake Forest, CA 92630-6811

Phone

(949) 899-5809

NPI assigned

Oct 6, 2017

Last updated

Oct 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC

  dba Greenlight Chiropractic & Wellness Lab

  • Pediatric Chiropractor
  • Lake Forest, CA
  • NPI 1063295392
  NPD (past)
• Helm Chiropractic Inc.

  • Chiropractor
  • Tustin, CA
  • NPI 1629396304
  NPD (past)

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1053821868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23101 LAKE CENTER DR STE 230",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306811",
            "telephone_number": "949-899-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 LAKE CENTER DR STE 230",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306811",
            "telephone_number": "949-899-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "MAOM, LAC, DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32552",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reflective Wellness LLC
• Megan Reilly, MOT, OTR/L
• Restorative Therapy Associates (MVP Physical Therapy)
• Retina Medical Group
• Rex Chuang, DDS, Inc.
• Marissa Diane Reynolds
• Reza Dehdari MD Inc (Advanced Healing Institute)
• Richard R Moy, D.P.M., Inc
• Christine Richards
• Rana Richeh, MD

• Acupuncturist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.