Jade Healing Retreat

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

JADE HEALING RETREAT

Practice address

10740 Wilshire Blvd Ste 921
Los Angeles, CA 90024-4493

Phone

(310) 557-0500

NPI assigned

Mar 3, 2009

Organization subpart

No

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

Authorized official

Name

Coleen A Tunney

Title

Owner

Phone

(310) 733-6161

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1326288325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 WILSHIRE BLVD STE 921",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 WILSHIRE BLVD STE 921",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244493",
            "telephone_number": "310-557-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE HEALING RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "TUNNEY",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-733-6161"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Elaine Jaconetty
• Fakhry Azer Jacoub, DDS
• Lisa S Jacques
• Montez Jacques
• Jessica Marie Jacquez, LVN
• Jade Springs Acupuncture & Herbs, Inc.
• Ayo Paul Jadesimi
• Priyanka Jadhav
• Rose Jadidian, PHARMD
• Hossein Jadvar, M.D.

• Nursing Facility/Intermediate Care Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.