NPIMap

Organization Active NPI

MBL Group

  • Acupuncturist
  • Riverside, CA
National Provider Identifier
1265645659
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10865 Issued in CA
Legal business name
MBL GROUP
Practice address
17923 Tangerine Way
Riverside, CA 92503-7079
Phone
(909) 305-3888
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Louise Lo, L.A.C., DIPL.O.M.
Title
President
Phone
(909) 305-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC10865 CA Primary

Addresses

Primary practice location

17923 Tangerine Way
Riverside, CA 92503-7079

Mailing address

17923 Tangerine Way
Riverside, CA 92503-7079
Phone (909) 305-3888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1265645659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17923 TANGERINE WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925037079",
            "telephone_number": "909-305-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17923 TANGERINE WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925037079",
            "telephone_number": "909-305-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-305-3888",
        "authorized_official_credential": "L.A.C.,    DIPL.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.