Mary McCullough, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

A13078 Issued in CA

Practice address

4508 Atlantic Ave Ste A505
Long Beach, CA 90807-1520

Phone

(310) 435-1248

NPI assigned

Jun 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1346653151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 ATLANTIC AVE STE A505",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908071520",
            "telephone_number": "310-435-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 ATLANTIC AVE STE A505",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908071520",
            "telephone_number": "310-435-1248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4117 Shelburn Ct",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900653017",
            "country_code": "US",
            "telephone_number": "323-240-8268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MARY",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "A13078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek L McCrae, M.D.
• Kaylynn Ashley McCrae, RN
• Ebonee McCray, MS
• Erin N McCuan, LCSW
• Dena Marie McCulley, RKT
• Janice V McDaniel
• Paige McDermott
• Maggie McDonald
• Mark Timothy McDonald
• Rhonda Kathleen McDonald

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2020; 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.