Active NPI
Rochan Marie Olson, L. AC
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1225381502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 14672
- Practice address
- 414 N Larchmont Blvd
Los Angeles, CA 90004-3014 - Phone
- (323) 461-7876
- NPI assigned
- Oct 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 14672 | CA | Primary |
Addresses
Primary practice location
414 N Larchmont Blvd
Los Angeles, CA 90004-3014
Mailing address
1012 Justin Ave
Apt C
Glendale, CA 91201-3681
Phone (818) 268-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14672 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1225381502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 JUSTIN AVE",
"address_2": "APT C",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912013681",
"telephone_number": "818-268-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N LARCHMONT BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043014",
"telephone_number": "323-461-7876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ROCHAN",
"middle_name": "MARIE",
"credential": "L. AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-23",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "14672",
"primary": true
}
],
"identifiers": [],
"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 Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.