Abundant Life Acuhealing Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ABUNDANT LIFE ACUHEALING CLINIC

Practice address

990 W Fremont Ave Ste N
Sunnyvale, CA 94087-3065

Phone

(408) 913-3537

NPI assigned

Aug 2, 2022

Last updated

Aug 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Huilan Jiang

Title

Manager

Phone

(408) 913-3537

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1194452003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 W FREMONT AVE STE N",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873065",
            "telephone_number": "408-913-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 W FREMONT AVE STE N",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873065",
            "telephone_number": "408-913-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE ACUHEALING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "HUILAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-913-3537"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "4085501168",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "990 W Fremont Ave Ste N",
            "city": "Sunnyvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940873065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.