Organization Active NPI

Flourishing Mind Body Wellness Center, a Collaborative Acupuncture PC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1063870822
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16926 Issued in CA
Legal business name
FLOURISHING MIND BODY WELLNESS CENTER, A COLLABORATIVE ACUPUNCTURE PC
Practice address
1554 S Sepulveda Blvd Ste 209
Los Angeles, CA 90025-3359
Phone
(310) 401-4065
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Keri Uejo Marchand, L.AC., DIPL. O.M.NPI 1003271917
Title
Ceo/President
Phone
(310) 401-4065

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 16926 CA Primary

Addresses

Primary practice location

1554 S Sepulveda Blvd Ste 209
Los Angeles, CA 90025-3359

Mailing address

1112 Montana Ave Ste 528
Santa Monica, CA 90403-7326
Phone (310) 401-4065

National Provider Directory

National Provider Directory

Locations

1112 Montana Ave
Ste 528
Santa Monica, CA 90403

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": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1063870822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 MONTANA AVE STE 528",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904037326",
            "telephone_number": "310-401-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 S SEPULVEDA BLVD STE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253359",
            "telephone_number": "310-401-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISHING MIND BODY WELLNESS CENTER, A COLLABORATIVE ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "UEJO MARCHAND",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "310-401-4065",
        "authorized_official_credential": "L.AC., DIPL. O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.