Iris Acupuncture and Herbal Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 4264 Issued in CA

Legal business name

IRIS ACUPUNCTURE AND HERBAL CLINIC

Practice address

1752 E Lugonia Ave Ste 110
Redlands, CA 92374-2733

Phone

(909) 794-1112

Fax

(909) 794-1115

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Christina Gwak, L.AC, O.M.D., PH.D.NPI 1013326966

Title

Sole Proprioter/Acupuncturist

Phone

(909) 794-1112

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Gwak, L.AC., O.M.D., PH.D.

  • Acupuncturist
  • Redlands, CA
  • NPI 1013326966
  NPD (past) Authorized official

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1215344320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 E LUGONIA AVE STE 110",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 E LUGONIA AVE STE 110",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742733",
            "telephone_number": "909-794-1112",
            "fax_number": "909-794-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS ACUPUNCTURE AND HERBAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "GWAK",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "SOLE PROPRIOTER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "909-794-1112",
        "authorized_official_credential": "L.AC, O.M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 4264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institutue for Behavioral Health
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• Asim Parvez Iqbal, D.O.
• Susan Irish-Zelener, MFT
• Isabella Possagnoli MD a Professional Corporation
• Laurentiu Istrate, M.D.
• Mahmoud M Itani, PHARM.D.
• Trisha Ivy, PA-C

• Acupuncturist in Redlands, CA
• Providers in Redlands, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.