Green Leaf Acupuncture, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 12018 Issued in CA

Legal business name

GREEN LEAF ACUPUNCTURE, INC.

Practice address

604 Santa Monica Blvd
Santa Monica, CA 90401-2502

Phone

(310) 926-4228

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Leslie Chen, L.AC.

Title

Ceo

Phone

(310) 926-4228

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1306010095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 S BEDFORD ST #9",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "904011374",
            "telephone_number": "310-926-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012502",
            "telephone_number": "310-926-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LEAF ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-926-4228",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 12018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Gray, M.S. CCC-SLP
• Robert K Gray, MD
• Breanne Carolyn Grazer, NP
• Laura Burns Greco, PSY.D.
• Adela Maria Greeley, M.D.
• Green Oasis Acupuncture, Inc
• Sebastian Green
• Lisa Carol Greenacre, WHNP
• Hannah Laurel Greenbaum, MA, OTR/L
• Channing Greenberg, MA, AMFT

• Acupuncturist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.