NPIMap

Organization Active NPI

He Lian Tang Acupuncture, Inc.

  • Acupuncturist
  • Fairfield, CA
National Provider Identifier
1124400718
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11443 Issued in CA
Legal business name
HE LIAN TANG ACUPUNCTURE, INC.
Practice address
4725 Mangels Blvd
Fairfield, CA 94534-4175
Phone
(707) 863-8988
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Wan He, L.AC. DAOM
Title
President
Phone
(707) 863-8988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC11443 CA Primary

Addresses

Primary practice location

4725 Mangels Blvd
Fairfield, CA 94534-4175

Mailing address

4725 Mangels Blvd
Fairfield, CA 94534-4175
Phone (707) 863-8988

National Provider Directory

National Provider Directory
Tax ID family
He Lian Tang Acupuncture Inc2 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

4725 Mangels Blvd
Fairfield, CA 94534
Phone (707) 863-8988

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1124400718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MANGELS BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945344175",
            "telephone_number": "707-863-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 MANGELS BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945344175",
            "telephone_number": "707-863-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HE LIAN TANG ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "WAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-863-8988",
        "authorized_official_credential": "L.AC. DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.