Organization Active NPI

Lotus Acupuncture & Fertility Clinic

  • Preferred Provider Organization
  • Vancouver, WA
National Provider Identifier
1194107847
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
AC00002855 Issued in WA
Legal business name
LOTUS ACUPUNCTURE & FERTILITY CLINIC
Practice address
15593 SE Mill Plain Blvd
Vancouver, WA 98684-8954
Phone
(360) 798-4950
Fax
(360) 896-0424
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Dr. Zhenbo Li, LAC
Title
Owner
Phone
(360) 798-4950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X AC00002855 WA Primary

Addresses

Primary practice location

15593 SE Mill Plain Blvd
Vancouver, WA 98684-8954

Mailing address

501 SE 123Rd Ave Apt N100
Vancouver, WA 98683-4041
Phone (360) 798-4950

National Provider Directory

National Provider Directory

Locations

15593 SE Mill Plain Blvd
Vancouver, WA 98684
Phone (360) 798-4950

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1194107847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SE 123RD AVE APT N100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834041",
            "telephone_number": "360-798-4950",
            "fax_number": "360-896-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15593 SE MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848954",
            "telephone_number": "360-798-4950",
            "fax_number": "360-896-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS ACUPUNCTURE & FERTILITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "ZHENBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-798-4950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "AC00002855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.