NPIMap

Organization Active NPI

Poke Acupuncture

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1295050862
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
12013 Issued in CA
Legal business name
POKE ACUPUNCTURE
Practice address
1810 Courtney Ave
Los Angeles, CA 90046-2105
Phone
(310) 489-1772
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Russell Alan Brown, L.AC.
Title
Owner
Phone
(310) 489-1772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 12013 CA Primary

Addresses

Primary practice location

1810 Courtney Ave
Los Angeles, CA 90046-2105

Mailing address

1810 Courtney Ave
Los Angeles, CA 90046-2105
Phone (310) 489-1772

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1295050862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 COURTNEY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462105",
            "telephone_number": "310-489-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 COURTNEY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462105",
            "telephone_number": "310-489-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POKE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-489-1772",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12013",
            "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 Apr 7, 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.