Active NPI
Mirela Lisicar, LAC
- Acupuncturist
- Beverly Hills, CA
National Provider Identifier
1124320999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 7114
- Practice address
- 462 N Linden Dr
Suite 441
Beverly Hills, CA 90212-2247 - Phone
- (310) 276-0027
- Fax
- (310) 276-0028
- NPI assigned
- Nov 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 7114 | CA | Primary |
Addresses
Primary practice location
462 N Linden Dr
Suite 441
Beverly Hills, CA 90212-2247
Mailing address
462 N Linden Dr Ste 441
Beverly Hills, CA 90212-4901
Phone (310) 276-0027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7114 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1124320999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 N LINDEN DR STE 441",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124901",
"telephone_number": "310-276-0027",
"fax_number": "310-276-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 N LINDEN DR",
"address_2": "SUITE 441",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122247",
"telephone_number": "310-276-0027",
"fax_number": "310-276-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISICAR",
"first_name": "MIRELA",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-29",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "7114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.