Organization Active NPI

Jimin Mai

Doing business as Eastland Medical Group

  • Acupuncturist
  • Long Beach, CA
National Provider Identifier
1326162678
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4144 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AC0041440OtherCAMEDICAL

Other names 1

  • Eastland Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.