Active NPI
Flourishing Mind Body Wellness Center, a Collaborative Acupuncture PC
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1063870822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16926
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.
-
- Acupuncturist
- Los Angeles, CA
- NPI 1003271917
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.