Organization Active NPI

Montebello Newlife Acupuncture Inc.

  • Acupuncturist
  • Montebello, CA
National Provider Identifier
1396942363
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
L.AC6470 Issued in CA
Legal business name
MONTEBELLO NEWLIFE ACUPUNCTURE INC.
Practice address
709 W Whittier Blvd
Montebello, CA 90640-4709
Phone
(323) 888-0540
Fax
(323) 888-1722
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James S. Park, L.AC
Title
President
Phone
(323) 888-0540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X L.AC6470 CA Primary

Addresses

Primary practice location

709 W Whittier Blvd
Montebello, CA 90640-4709

Mailing address

709 W Whittier Blvd
Montebello, CA 90640-4709
Phone (323) 888-0540

National Provider Directory

National Provider Directory

Locations

709 W Whittier Blvd
Montebello, CA 90640
Phone (323) 888-0540

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396942363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404709",
            "telephone_number": "323-888-0540",
            "fax_number": "323-888-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404709",
            "telephone_number": "323-888-0540",
            "fax_number": "323-888-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEBELLO NEWLIFE ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-888-0540",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "L.AC6470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.