Organization Active NPI

Mulberry Leaf Acupuncture & Herbs

  • Acupuncturist
  • North Hollywood, CA
National Provider Identifier
1083022206
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15511 Issued in CA
Legal business name
MULBERRY LEAF ACUPUNCTURE & HERBS
Practice address
5257 Vineland Ave
North Hollywood, CA 91601
Phone
(213) 446-5428
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Aleksandra Monje Dianova, L.AC.
Title
Acupuncturist
Phone
(213) 446-5428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 15511 CA Primary

Addresses

Primary practice location

5257 Vineland Ave
North Hollywood, CA 91601

Mailing address

18065 W Terra Verde PL
Santa Clarita, CA 91387-1830
Phone (213) 446-5428

National Provider Directory

National Provider Directory

Locations

5257 Vineland Ave
North Hollywood, CA 91601
Phone (213) 446-5428

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1083022206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18065 W TERRA VERDE PL",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913871830",
            "telephone_number": "213-446-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 VINELAND AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91601",
            "telephone_number": "213-446-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY LEAF ACUPUNCTURE & HERBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "DIANOVA",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_middle_name": "MONJE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "213-446-5428",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.