Organization Active NPI

Venice Health Center

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1174845556
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13069 Issued in CA
Legal business name
VENICE HEALTH CENTER
Practice address
730 S Western Ave #208
Los Angeles, CA 90005-5901
Phone
(951) 616-8780
Fax
(323) 208-4812
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Mr. Jinyoung KimNPI 1447582903
Title
Owner
Phone
(951) 616-8780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC13069 CA Primary

Addresses

Primary practice location

730 S Western Ave #208
Los Angeles, CA 90005-5901

Mailing address

730 S Western Ave Ste 208
Los Angeles, CA 90005-5901
Phone (951) 616-8780

National Provider Directory

National Provider Directory
Tax ID family
Venice Health Center2 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

730 S Western Ave
Ste 208
Los Angeles, CA 90005
Phone (213) 260-1001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1174845556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S WESTERN AVE STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900055901",
            "telephone_number": "951-616-8780",
            "fax_number": "323-208-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S WESTERN AVE #208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900055901",
            "telephone_number": "951-616-8780",
            "fax_number": "323-208-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENICE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JINYOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-616-8780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13069",
            "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 Jan 7, 2013; 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.