Active NPI
Shangri-la Acupuncture and Herbal Clinic
- Acupuncturist
- Brea, CA
National Provider Identifier
1174075733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 17320
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryNPI 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.