Organization Active NPI

Yo San University of Traditional Chinese Medicine Inc.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1104211440
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
51464 Issued in CA
Legal business name
YO SAN UNIVERSITY OF TRADITIONAL CHINESE MEDICINE INC.
Practice address
13315 W Washington Blvd
Suite 200
Los Angeles, CA 90066-5169
Phone
(310) 577-3006
NPI assigned
Apr 3, 2015
Last updated
Apr 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Shuilan Mariani May
Title
Controller / Bursar
Phone
(310) 577-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 51464 CA Primary

Addresses

Primary practice location

13315 W Washington Blvd
Suite 200
Los Angeles, CA 90066-5169

Mailing address

13315 W. Washington Blvd.
Suite 200
Los Angeles, CA 90066-5162
Phone (310) 577-3006

Other names 1

  • Yo San University Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Yo San University Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13315 W Washington Blvd
Ste 200
Los Angeles, CA 90066
Phone (310) 577-3000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1104211440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 W. WASHINGTON BLVD.",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665162",
            "telephone_number": "310-577-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13315 W WASHINGTON BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665169",
            "telephone_number": "310-577-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YO SAN UNIVERSITY OF TRADITIONAL CHINESE MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "SHUILAN",
        "authorized_official_middle_name": "MARIANI",
        "authorized_official_title_or_position": "CONTROLLER / BURSAR",
        "authorized_official_telephone_number": "310-577-3000"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "51464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yo San University Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 3, 2015; 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.