Organization Active NPI

Classical Acupuncture Clinic

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1386208908
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CLASSICAL ACUPUNCTURE CLINIC
Practice address
1554 S Sepulveda Blvd Ste 209
Los Angeles, CA 90025-3359
Phone
(310) 473-2090
NPI assigned
Apr 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Mona Dinari, L.AC
Title
Owner
Phone
(310) 473-2090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1554 S Sepulveda Blvd Ste 209
Los Angeles, CA 90025-3359

Mailing address

1554 S Sepulveda Blvd Ste 209
Los Angeles, CA 90025-3359
Phone (310) 473-2090

Other identifiers 1

IdentifierTypeStateIssuer
1730386624OtherCANPI

National Provider Directory

National Provider Directory

Locations

1554 S Sepulveda Blvd
Ste 209
Los Angeles, CA 90025
Phone (310) 401-4065

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1386208908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 S SEPULVEDA BLVD STE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253359",
            "telephone_number": "310-473-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 S SEPULVEDA BLVD STE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253359",
            "telephone_number": "310-473-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSICAL ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "DINARI",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-473-2090",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730386624",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.