Organization Active NPI

10 Body Type Acupuncture Clinic

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1265620926
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 9328 Issued in CA
Legal business name
10 BODY TYPE ACUPUNCTURE CLINIC
Practice address
5770 Melrose Ave Ste 207
Los Angeles, CA 90038-3873
Phone
(213) 675-0111
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Mr. Kevin K. Choe, L.AC.
Title
President
Phone
(213) 675-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 9328 CA Primary

Addresses

Primary practice location

5770 Melrose Ave Ste 207
Los Angeles, CA 90038-3873

Mailing address

5770 Melrose Ave Ste 207
Los Angeles, CA 90038-3873
Phone (213) 675-0111

Practitioners 2

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

National Provider Directory

National Provider Directory

Locations

5770 Melrose Ave
Ste 207
Los Angeles, CA 90038
Phone (213) 675-0111

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1265620926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 MELROSE AVE STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383873",
            "telephone_number": "213-675-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 MELROSE AVE STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383873",
            "telephone_number": "213-675-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "10 BODY TYPE ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-675-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 9328",
            "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 Jul 12, 2011; 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.