Organization Active NPI

Sandee Wellness Center 2018, Inc

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1255824850
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SANDEE WELLNESS CENTER 2018, INC
Practice address
1253 Vine St Ste 10
Los Angeles, CA 90038-1662
Phone
(323) 747-0987
Fax
(323) 395-0428
NPI assigned
Jun 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Chalaiporn Iamsirithaworn, LAC.NPI 1639580939
Title
Owner
Phone
(323) 747-0987

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X CA Primary

Addresses

Primary practice location

1253 Vine St Ste 10
Los Angeles, CA 90038-1662

Mailing address

1253 Vine St Ste 10
Los Angeles, CA 90038-1662
Phone (323) 747-0987

Other names 1

  • Sandee Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

1123 Vine St
Ste 6B
Los Angeles, CA 90038

1253 Vine St
Ste 10
Los Angeles, CA 90038
Phone (323) 462-3447

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1255824850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 VINE ST STE 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381662",
            "telephone_number": "323-747-0987",
            "fax_number": "323-395-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 VINE ST STE 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381662",
            "telephone_number": "323-747-0987",
            "fax_number": "323-395-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDEE WELLNESS CENTER 2018, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "IAMSIRITHAWORN",
        "authorized_official_first_name": "CHALAIPORN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-747-0987",
        "authorized_official_credential": "LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandee Wellness Center",
            "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 Jun 8, 2018; 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.