Active NPI
Jimin Mai
Doing business as Eastland Medical Group
- Acupuncturist
- Long Beach, CA
National Provider Identifier
1326162678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4144
- Legal business name
- JIMIN MAI
- Doing business as
- Eastland Medical Group
- Practice address
- 1777 Bellflower Blvd
#114
Long Beach, CA 90815 - Phone
- (562) 986-7922
- Fax
- (562) 494-8993
- NPI assigned
- Mar 19, 2007
- Last updated
- Jun 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jimin Mai, PHD LAC
- Title
- Director
- Phone
- (562) 986-7922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC4144 | CA | Primary |
Addresses
Primary practice location
1777 Bellflower Blvd
#114
Long Beach, CA 90815
Mailing address
1777 Bellflower Blvd
#114
Long Beach, CA 90815
Phone (562) 986-7922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC0041440 | Other | CA | MEDICAL |
Other names 1
- Eastland Medical Group
National Provider Directory
National Provider DirectoryLocations
1777 N Bellflower Blvd
Ste 114
Long Beach, CA 90815
Phone (502) 986-7922
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Acupuncturist
- Long Beach, CA
- NPI 1174662233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1326162678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 BELLFLOWER BLVD",
"address_2": "#114",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90815",
"telephone_number": "562-986-7922",
"fax_number": "562-494-8993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 BELLFLOWER BLVD",
"address_2": "#114",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90815",
"telephone_number": "562-986-7922",
"fax_number": "562-494-8993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIMIN MAI",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "MAI",
"authorized_official_first_name": "JIMIN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "562-986-7922",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHD LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "AC0041440",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastland Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.