Organization Active NPI

Sea Breeze Holistic Health Center, LLC

  • Acupuncturist
  • Issaquah, WA
National Provider Identifier
1184228736
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SEA BREEZE HOLISTIC HEALTH CENTER, LLC
Practice address
184 Shy Bear Way NW Ste B
Issaquah, WA 98027-5696
Phone
(425) 657-0439
NPI assigned
Nov 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Dr. Haifeng Wu, DAOMNPI 1366979189
Title
Ceo, L.Ac., Daom
Phone
(408) 896-3521

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: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

184 Shy Bear Way NW Ste B
Issaquah, WA 98027-5696

Mailing address

2149 Shy Bear Way NW Apt 410
Issaquah, WA 98027-5628
Phone (408) 896-3521

National Provider Directory

National Provider Directory

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": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1184228736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 SHY BEAR WAY NW APT 410",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275628",
            "telephone_number": "408-896-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 SHY BEAR WAY NW STE B",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275696",
            "telephone_number": "425-657-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA BREEZE HOLISTIC HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "HAIFENG",
        "authorized_official_title_or_position": "CEO, L.AC., DAOM",
        "authorized_official_telephone_number": "408-896-3521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.