NPIMap

Organization Active NPI

Blossom Acupuncture Inc.

Doing business as Blossom Traditional Chinese Medicine

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1205169463
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 11425 Issued in CA
Legal business name
BLOSSOM ACUPUNCTURE INC.
Doing business as
Blossom Traditional Chinese Medicine
Practice address
3542 Hollydale Dr
Los Angeles, CA 90039-2117
Phone
(323) 660-6010
Fax
(323) 660-6020
NPI assigned
Sep 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Larisa Boyd, L.AC.
Title
President
Phone
(323) 660-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 11425 CA Primary

Addresses

Primary practice location

3542 Hollydale Dr
Los Angeles, CA 90039-2117

Mailing address

PO Box 931194
Los Angeles, CA 90093-1194
Phone (323) 660-6010

Other names 1

  • Blossom Traditional Chinese Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1205169463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931194",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900931194",
            "telephone_number": "323-660-6010",
            "fax_number": "323-660-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 HOLLYDALE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392117",
            "telephone_number": "323-660-6010",
            "fax_number": "323-660-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-660-6010",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 11425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Traditional Chinese Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 4, 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.

Verify at the official NPI Registry.