Active NPI
Minerva De Lauren, LA ACUPUNCTURIST
- Acupuncturist
- Beverly Hills, CA
National Provider Identifier
1164894762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 9769
- Practice address
- 50 N la Cienega Blvd Ste 100
Beverly Hills, CA 90211-2241 - Phone
- (310) 659-0989
- NPI assigned
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 9769 | CA | Primary |
Addresses
Primary practice location
50 N la Cienega Blvd Ste 100
Beverly Hills, CA 90211-2241
Mailing address
50 N la Cienega Blvd Ste 100
Beverly Hills, CA 90211-2241
Phone (310) 659-0989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9769 | Other | CA | LICENSED ACUPUNCTURIST |
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 |
|---|---|---|---|
| 9769 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1164894762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N LA CIENEGA BLVD STE 100",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112241",
"telephone_number": "310-659-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N LA CIENEGA BLVD STE 100",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112241",
"telephone_number": "310-659-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LAUREN",
"first_name": "MINERVA",
"credential": "LA ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "9769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED ACUPUNCTURIST",
"identifier": "9769",
"state": "CA"
}
],
"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 Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.