Organization Active NPI

Shangri-la Acupuncture and Herbal Clinic

  • Acupuncturist
  • Brea, CA
National Provider Identifier
1174075733
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 17320 Issued in CA
Legal business name
SHANGRI-LA ACUPUNCTURE AND HERBAL CLINIC
Practice address
1211 W Imperial Hwy
Suite 102
Brea, CA 92821-3724
Phone
(714) 525-7575
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Ae Kyung Yi
Title
Owner
Phone
(714) 525-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 17320 CA Primary

Addresses

Primary practice location

1211 W Imperial Hwy
Suite 102
Brea, CA 92821-3724

Mailing address

1211 W Imperial Hwy
Suite 102
Brea, CA 92821-3724

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1174075733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W IMPERIAL HWY",
            "address_2": "SUITE 102",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W IMPERIAL HWY",
            "address_2": "SUITE 102",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213724",
            "telephone_number": "714-525-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANGRI-LA ACUPUNCTURE AND HERBAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "AE",
        "authorized_official_middle_name": "KYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-525-7575"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 17320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.