Organization Active NPI

New Life Acupuncture and Herbs Clinic

  • Public Health or Welfare Agency
  • Albuquerque, NM
National Provider Identifier
1215172952
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
960 Issued in NM
Legal business name
NEW LIFE ACUPUNCTURE AND HERBS CLINIC
Practice address
4716 Central Ave SE
Albuquerque, NM 87108
Phone
(505) 710-7504
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Dr. Sangsoon Chang
Title
D.O.M
Phone
(505) 710-7504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 960 NM Primary

Addresses

Primary practice location

4716 Central Ave SE
Albuquerque, NM 87108

Mailing address

4716 Central Ave SE
Albuquerque, NM 87108
Phone (505) 710-7504

National Provider Directory

National Provider Directory

Locations

4716 Central Ave SE
Albuquerque, NM 87108
Phone (505) 710-7504

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1215172952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 CENTRAL AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-710-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 CENTRAL AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-710-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE ACUPUNCTURE AND HERBS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SANGSOON",
        "authorized_official_title_or_position": "D.O.M",
        "authorized_official_telephone_number": "15057107504",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NM",
            "license": "960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.