Organization Active NPI

Angel Grace Healing Clinic Inc.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1215495528
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ANGEL GRACE HEALING CLINIC INC.
Doing business as
Angel Grace Healing Clinic Inc
Practice address
5757 W Century Blvd Ste 558
Los Angeles, CA 90045-6454
Phone
(213) 268-7636
NPI assigned
Mar 5, 2019
Last updated
Mar 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Grace ChoiNPI 1124553680
Title
Owner
Phone
(213) 268-7636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

5757 W Century Blvd Ste 558
Los Angeles, CA 90045-6454

Mailing address

5757 W Century Blvd Ste 558
Los Angeles, CA 90045-6454
Phone (213) 268-7636

Other names 1

  • ANGEL GRACE HEALING CLINIC INC Doing business as

National Provider Directory

National Provider Directory

Locations

5757 W Century Blvd
Ste 558
Los Angeles, CA 90045
Phone (213) 268-7636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1215495528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 W CENTURY BLVD STE 558",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456454",
            "telephone_number": "213-268-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W CENTURY BLVD STE 558",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456454",
            "telephone_number": "213-268-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL GRACE HEALING CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-268-7636"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGEL GRACE HEALING CLINIC INC",
            "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 Mar 5, 2019; 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.