Organization Active NPI

Dr NA Acuchiro TMJ Clinic, Inc

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1104391242
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DR NA ACUCHIRO TMJ CLINIC, INC
Practice address
955 S Western Ave Ste 206
Los Angeles, CA 90006-1006
Phone
(323) 766-1600
Fax
(323) 766-1660
NPI assigned
Oct 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Rosa NA, DC, L.AC.
Title
Ceo
Phone
(323) 766-1600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

955 S Western Ave Ste 206
Los Angeles, CA 90006-1006

Mailing address

955 S Western Ave Ste 206
Los Angeles, CA 90006-1006
Phone (323) 766-1600

National Provider Directory

National Provider Directory

Locations

955 S Western Ave
Ste 206
Los Angeles, CA 90006
Phone (323) 766-1600

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1104391242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S WESTERN AVE STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061006",
            "telephone_number": "323-766-1600",
            "fax_number": "323-766-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S WESTERN AVE STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061006",
            "telephone_number": "323-766-1600",
            "fax_number": "323-766-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR NA ACUCHIRO TMJ CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "NA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-766-1600",
        "authorized_official_credential": "DC, L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "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 Oct 4, 2018; 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.