Organization Active NPI

Blake Broukhim Acupuncture Inc

  • Acupuncturist
  • North Hollywood, CA
National Provider Identifier
1306714845
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BLAKE BROUKHIM ACUPUNCTURE INC
Practice address
10614 Riverside Dr
North Hollywood, CA 91602-2373
Phone
(818) 755-6070
Fax
(818) 755-1870
NPI assigned
Oct 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Blake Johnathan Broukhim, LACNPI 1427921378
Title
President
Phone
(818) 755-6070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10614 Riverside Dr
North Hollywood, CA 91602-2373

Mailing address

10614 Riverside Dr
North Hollywood, CA 91602-2373
Phone (818) 755-6070

Other practice location 1

1700 Westwood Blvd
Los Angeles, CA 90024-5608
Phone (818) 755-6070

Other practice location 2

9025 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-1827
Phone (818) 755-6070

National Provider Directory

National Provider Directory

Locations

9025 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 274-5765

10614 Riverside Dr
North Hollywood, CA 91602
Phone (818) 755-6070

Practitioners & affiliated clinicians

Practitioners 1

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": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1306714845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022373",
            "telephone_number": "818-755-6070",
            "fax_number": "818-755-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10614 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022373",
            "telephone_number": "818-755-6070",
            "fax_number": "818-755-1870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Westwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900245608",
            "country_code": "US",
            "telephone_number": "818-755-6070",
            "fax_number": "818-755-1870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9025 Wilshire Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111827",
            "country_code": "US",
            "telephone_number": "818-755-6070",
            "fax_number": "818-755-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLAKE BROUKHIM ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "BROUKHIM",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "JOHNATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-755-6070",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.