Source Point Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SOURCE POINT WELLNESS

Practice address

3036 Glendale Blvd
Los Angeles, CA 90039

Phone

(424) 835-0884

Fax

(323) 978-5158

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Cohen, DAOM, L.A.CNPI 1780003350

Title

Doctor, Owner

Phone

(424) 835-0884

Specialties & licenses 4

Addresses

Other names 2

• Amanda Cohen Doing business as
• Amanda Cohen L.Ac. Former legal business name

Locations

Practitioners 1

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

• Amanda Cohen, DAOM, L.AC

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1780003350

  Acupuncturist

  NPD Authorized official

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1245610195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90039",
            "telephone_number": "424-835-0884",
            "fax_number": "323-978-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90039",
            "telephone_number": "424-835-0884",
            "fax_number": "323-978-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE POINT WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DOCTOR, OWNER",
        "authorized_official_telephone_number": "424-835-0884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM, L.A.C"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Cohen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amanda Cohen L.Ac.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Serko Soultanian, PHARMD
• Lisa Soumekh
• Rachel Soumekh
• Soung Hoon Cho DDS. Inc
• Karina Denise Souquette
• Nadine Souret
• Dalia Souroujon
• Soheyla Soury, RPH
• Sous Le Parapluie, LLC
• Nagi N. Sous, MD

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.