NPIMap

Organization Active NPI

Jasmine Herb and Acupuncture, Inc.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1225362239
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10209 Issued in CA
Legal business name
JASMINE HERB AND ACUPUNCTURE, INC.
Practice address
3545 Wilshire BL.
#337
Los Angeles, CA 90010-2388
Phone
(213) 382-0577
Fax
(213) 382-0551
NPI assigned
Sep 23, 2009
Last updated
Sep 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Jae Chang Park, LACNPI 1255463675
Title
President
Phone
(213) 382-0577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10209 CA Primary

Addresses

Primary practice location

3545 Wilshire BL.
#337
Los Angeles, CA 90010-2388

Mailing address

3545 Wilshire BL.
#337
Los Angeles, CA 90010-2388
Phone (213) 382-0577

Other identifiers 1

IdentifierTypeStateIssuer
AC10209OtherCAACUPUNCTURE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1225362239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 WILSHIRE BL.",
            "address_2": "#337",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102388",
            "telephone_number": "213-382-0577",
            "fax_number": "213-382-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 WILSHIRE BL.",
            "address_2": "#337",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102388",
            "telephone_number": "213-382-0577",
            "fax_number": "213-382-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE HERB AND ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAE CHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-382-0577",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "AC10209",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 23, 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.