NPIMap

Organization Active NPI

Magnolia Wellness Center, Inc.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1306079611
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 12361 Issued in CA
Legal business name
MAGNOLIA WELLNESS CENTER, INC.
Practice address
5250 Santa Monica Blvd
306A
Los Angeles, CA 90029-1252
Phone
(323) 665-7740
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Hea Eun Jang, L.AC
Title
Acupuncturist
Phone
(323) 665-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 12361 CA Primary

Addresses

Primary practice location

5250 Santa Monica Blvd
306A
Los Angeles, CA 90029-1252

Mailing address

5250 Santa Monica Blvd
306A
Los Angeles, CA 90029-1252
Phone (323) 665-7740

National Provider Directory

National Provider Directory

Locations

5250 Santa Monica Blvd
#306A
Los Angeles, CA 90029
Phone (323) 665-7740

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1306079611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 SANTA MONICA BLVD",
            "address_2": "306A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291252",
            "telephone_number": "323-665-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 SANTA MONICA BLVD",
            "address_2": "306A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291252",
            "telephone_number": "323-665-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "HEA EUN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "323-665-7740",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 12361",
            "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 Mar 4, 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.