Organization Active NPI

De-Yi Chinese Herb & Acupuncture Clinic

  • Acupuncturist
  • Rosemead, CA
National Provider Identifier
1316624869
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
DE-YI CHINESE HERB & ACUPUNCTURE CLINIC
Practice address
9368 Valley Blvd
103
Rosemead, CA 91770-1990
Phone
(323) 633-0398
Fax
(626) 380-4069
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Pu Polly WangNPI 1306220462
Title
Ceo
Phone
(323) 633-0398

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

9368 Valley Blvd
103
Rosemead, CA 91770-1990

Mailing address

9368 Valley Blvd
103
Rosemead, CA 91770-1990
Phone (323) 633-0398

National Provider Directory

National Provider Directory

Locations

9368 Valley Blvd
Ste 103
Rosemead, CA 91770
Phone (323) 633-0398

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": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1316624869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9368 VALLEY BLVD",
            "address_2": "103",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701990",
            "telephone_number": "323-633-0398",
            "fax_number": "626-380-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9368 VALLEY BLVD",
            "address_2": "103",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701990",
            "telephone_number": "323-633-0398",
            "fax_number": "626-380-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE-YI CHINESE HERB & ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "PU",
        "authorized_official_middle_name": "POLLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-633-0398"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.