Active NPI
Shohreh Younessian Pedouim, ACUPUNCTURIST
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1184953119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 9391
- Practice address
- 4201 Wilshire Blvd
Ste. 515
Los Angeles, CA 90010-3601 - Phone
- (310) 205-9114
- Fax
- (310) 859-4745
- NPI assigned
- Dec 22, 2009
- Last updated
- Dec 22, 2009
- 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 | 9391 | CA | Primary |
Addresses
Primary practice location
4201 Wilshire Blvd
Ste. 515
Los Angeles, CA 90010-3601
Mailing address
145 N Almont Dr
#2
Beverly Hills, CA 90211-1819
Phone (310) 205-9114
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 |
|---|---|---|---|
| 9391 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1184953119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 N ALMONT DR",
"address_2": "#2",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111819",
"telephone_number": "310-205-9114",
"fax_number": "310-859-4745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 WILSHIRE BLVD",
"address_2": "STE. 515",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103601",
"telephone_number": "310-205-9114",
"fax_number": "310-859-4745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNESSIAN PEDOUIM",
"first_name": "SHOHREH",
"name_prefix": "Dr.",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-22",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "9391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
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- Young Kim Dental Group of Westmoreland Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.