Andrea Penagos

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16543 Issued in CA

Legal business name

ANDREA PENAGOS

Practice address

1254 S Mullen Ave
Los Angeles, CA 90019-3017

Phone

(323) 578-0703

NPI assigned

Jun 29, 2015

Organization subpart

No

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

Authorized official

Name

Andrea Natalie Penagos, L.AC.

Title

Licensed Acupuncturist

Phone

(323) 578-0703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1316320161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 S MULLEN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193017",
            "telephone_number": "323-578-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 S MULLEN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193017",
            "telephone_number": "323-578-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA PENAGOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "PENAGOS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "NATALIE",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "323-578-0703",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.