Jennifer Rebecca Shulman, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

12784 Issued in CA

Practice address

1300 S Pacific Coast Hwy
Suite 201
Redondo Beach, CA 90277-5003

Phone

(805) 284-2544

Fax

(805) 284-2544

NPI assigned

Oct 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1336391101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY",
            "address_2": "SUITE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "805-284-2544",
            "fax_number": "805-284-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY",
            "address_2": "SUITE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "805-284-2544",
            "fax_number": "805-284-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "name_prefix": "Miss",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12784",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.