Organization Active NPI

Clinic for Pain and Anxiety

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1316499270
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17420 Issued in CA
Legal business name
CLINIC FOR PAIN AND ANXIETY
Practice address
1125 S Beverly Dr
Suite 610
Los Angeles, CA 90035-1148
Phone
(424) 281-0345
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Mrs. Hana Doustar, LACNPI 1093266850
Title
Owner
Phone
(424) 281-0345

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 AC17420 CA Primary

Addresses

Primary practice location

1125 S Beverly Dr
Suite 610
Los Angeles, CA 90035-1148

Mailing address

1928 Fox Hills Dr
Los Angeles, CA 90025-5104
Phone (310) 754-5533

National Provider Directory

National Provider Directory

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": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1316499270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 FOX HILLS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255104",
            "telephone_number": "310-754-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "SUITE 610",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351148",
            "telephone_number": "424-281-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC FOR PAIN AND ANXIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "DOUSTAR",
        "authorized_official_first_name": "HANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-281-0345",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17420",
            "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 16, 2017; 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.