Avida Center Acupuncture Corp

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 10057 Issued in CA

Legal business name

AVIDA CENTER ACUPUNCTURE CORP

Practice address

6191 Cornerstone CT E
Ste 113
San Diego, CA 92121-4739

Phone

(619) 890-8071

Fax

(858) 550-0153

NPI assigned

Mar 12, 2014

Last updated

Mar 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Dien S Vong, L.AC.NPI 1003929399

Title

President

Phone

(619) 890-8071

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dien Vong, LAC

  • Acupuncturist
  • San Diego, CA
  • NPI 1003929399
  NPD (past) Authorized official
• Marlene Ai Van Vong, L.AC.

  • Acupuncturist
  • San Diego, CA
  • NPI 1518325158
  NPD (past)
• Christina Thomason, L.AC

  • Acupuncturist
  • Greenville, SC
  • NPI 1063872802
  NPD (past)

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1316363492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 CORNERSTONE CT E",
            "address_2": "STE 113",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214739",
            "telephone_number": "619-890-8071",
            "fax_number": "858-550-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 CORNERSTONE CT E",
            "address_2": "STE 113",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214739",
            "telephone_number": "619-890-8071",
            "fax_number": "858-550-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIDA CENTER ACUPUNCTURE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "VONG",
        "authorized_official_first_name": "DIEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-890-8071",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 10057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaida Avery, D.D.S.
• Zachary Hamilton Avery, LCSW, BC-TMH, TIYT
• Avi Sina Healthcare Corp
• Aviamedix, LLC
• Avicenna Critical Care, PC
• Avidity Occupational Therapy Inc.
• Martha Avila-Jimenez
• Abigail Guadalupe Avila
• Abraham Avila, PT, DPT
• Ashley Avila

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.