Organization Active NPI

Healing Light Family Acupuncture Corp.

  • Acupuncturist
  • Fountain Valley, CA
National Provider Identifier
1053859991
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 13194 Issued in CA
Legal business name
HEALING LIGHT FAMILY ACUPUNCTURE CORP.
Practice address
18430 Brookhurst St Ste 102
Fountain Valley, CA 92708-6726
Phone
(949) 257-7622
NPI assigned
Feb 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Mukunda Singh
Title
Cfo, Secretary
Phone
(949) 257-7622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 13194 CA Primary

Addresses

Primary practice location

18430 Brookhurst St Ste 102
Fountain Valley, CA 92708-6726

Mailing address

18430 Brookhurst St Ste 102
Fountain Valley, CA 92708-6726
Phone (949) 257-7622

Other identifiers 1

IdentifierTypeStateIssuer
AC 13194OtherCACALIFORNIA ACUPUNCTURE BOARD

National Provider Directory

National Provider Directory

Locations

18430 Brookhurst St
Ste 102
Fountain Valley, CA 92708
Phone (949) 257-7622

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1053859991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST STE 102",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086726",
            "telephone_number": "949-257-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST STE 102",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086726",
            "telephone_number": "949-257-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING LIGHT FAMILY ACUPUNCTURE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "MUKUNDA",
        "authorized_official_title_or_position": "CFO, SECRETARY",
        "authorized_official_telephone_number": "949-257-7622"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 13194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA ACUPUNCTURE BOARD",
            "identifier": "AC 13194",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.