Organization Active NPI

Modern Moxa Needles LLC

  • Acupuncturist
  • San Gabriel, CA
National Provider Identifier
1104501352
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MODERN MOXA NEEDLES LLC
Practice address
327 E Valley Blvd Ste 101
San Gabriel, CA 91776-6501
Phone
(626) 816-3336
NPI assigned
Jun 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Ms. Bonnie HuangNPI 1083323554
Title
President
Phone
(626) 816-3336

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 Primary

Addresses

Primary practice location

327 E Valley Blvd Ste 101
San Gabriel, CA 91776-6501

Mailing address

327 E Valley Blvd Ste 101
San Gabriel, CA 91776-6501
Phone (626) 816-3336

National Provider Directory

National Provider Directory

Locations

327 E Valley Blvd
Ste 101
San Gabriel, CA 91776
Phone (626) 816-3336

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": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1104501352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 E VALLEY BLVD STE 101",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917766501",
            "telephone_number": "626-816-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 E VALLEY BLVD STE 101",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917766501",
            "telephone_number": "626-816-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MOXA NEEDLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-816-3336",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.