NPIMap

Organization Active NPI

Olive Tree Oriental Medicine, Inc.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1164707055
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00011211 Issued in CA
Legal business name
OLIVE TREE ORIENTAL MEDICINE, INC.
Practice address
711 S Vermont Ave Ste 103
Los Angeles, CA 90005-1587
Phone
(213) 382-2003
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Ms. Eun Hee Yu, L. A.C
Title
Owner/Acupuncturist
Phone
(213) 382-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00011211 CA Primary

Addresses

Primary practice location

711 S Vermont Ave Ste 103
Los Angeles, CA 90005-1587

Mailing address

711 S Vermont Ave Ste 103
Los Angeles, CA 90005-1587
Phone (213) 382-2003

National Provider Directory

National Provider Directory

Locations

711 S Vermont Ave
Ste 103
Los Angeles, CA 90005
Phone (213) 377-4188

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1164707055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S VERMONT AVE STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051587",
            "telephone_number": "213-382-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S VERMONT AVE STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051587",
            "telephone_number": "213-382-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE ORIENTAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "EUN HEE",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "213-382-2003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L. A.C"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC00011211",
            "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 11, 2011; 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.