Persoma Wellness - a Professional Acupuncture Corporation

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC12304 Issued in CA

Legal business name

PERSOMA WELLNESS - A PROFESSIONAL ACUPUNCTURE CORPORATION

Practice address

777 Silver Spur Rd # 112
Rolling Hills Estates, CA 90274-3633

Phone

(310) 570-9723

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Christina M Loden, L.AC.NPI 1699907931

Title

President

Phone

(310) 570-9723

Specialties & licenses 1

Addresses

Other names 1

• PerSoma Wellness Doing business as

Locations

Practitioners 1

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

• Christina M Loden, L.AC.

  • Acupuncturist
  • Rolling Hills Estates, CA
  • NPI 1699907931
  NPD (past) Authorized official

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1245605690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SILVER SPUR RD # 112",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743633",
            "telephone_number": "310-570-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SILVER SPUR RD # 112",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743633",
            "telephone_number": "310-570-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSOMA WELLNESS - A PROFESSIONAL ACUPUNCTURE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "LODEN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-570-9723",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PerSoma Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Ann Paulson, NURSE PRACTITIONER
• Peninsula Center for Children and Families
• Peninsula Health Center LLC
• Peninsula Health Partners
• Peninsula Physical Therapy Inc.
• Catherine Peterson, MD
• Physio Mind Physical Therapy Inc
• Pmni, Inc.
• Hyunah L Poa, MD
• Chellie Terry Powell, CD, PCD, DONA

• Acupuncturist in Rolling Hills Estates, CA
• Providers in Rolling Hills Estates, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.