Green Health Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC10112 Issued in CA

Legal business name

GREEN HEALTH ACUPUNCTURE

Practice address

150 W 6TH St
San Pedro, CA 90731-3300

Phone

(310) 831-2202

NPI assigned

Dec 22, 2010

Organization subpart

No

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

Authorized official

Name

Olesia Farberov, L.AC.

Title

Licensed Acupuncturist & Herbalist

Phone

(310) 831-2202

Specialties & licenses 2

Addresses

Other names 1

• iMed Doing business as

Practitioners 1

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

• Marc Pierson Ryan, L.AC.

  • Acupuncturist
  • San Pedro, CA
  • NPI 1568615375
  NPD (past)

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1275837841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313300",
            "telephone_number": "310-831-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313300",
            "telephone_number": "310-831-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HEALTH ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "FARBEROV",
        "authorized_official_first_name": "OLESIA",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST & HERBALIST",
        "authorized_official_telephone_number": "310-831-2202",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10112",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "2431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Weston Graham, LMT
• Alicia Elizabeth Grant, PHARMD
• Valerie Grant, MD
• Maricela H Gray
• Great Harbor Family & Sports Medicine, Inc
• Michael Douglas Green, P.A.
• Lawrence Bruce Greenberg, M.D.
• Katelyn Greenspan, MA, LMFT
• Gregory Owens Licensed Marriage and Therapy Inc
• Gregory R. Keese, MD Inc, a Profession of Medicine

• Acupuncturist in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.