Active NPI
Heyn Elina Park, L.AC
- Acupuncturist
- Studio City, CA
National Provider Identifier
1396982096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- L.AC 12507
- Practice address
- 11239 Ventura Blvd
Suite 213
Studio City, CA 91604-3163 - Phone
- (213) 718-1831
- NPI assigned
- Jan 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | L.AC 12507 | CA | Primary |
Addresses
Primary practice location
11239 Ventura Blvd
Suite 213
Studio City, CA 91604-3163
Mailing address
11239 Ventura Blvd
Suite 213
Studio City, CA 91604-3163
Phone (213) 718-1831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L.AC 12507 | Other | CA | ACUPUNCTURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.AC 12507 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1396982096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11239 VENTURA BLVD",
"address_2": "SUITE 213",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916043163",
"telephone_number": "213-718-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11239 VENTURA BLVD",
"address_2": "SUITE 213",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916043163",
"telephone_number": "213-718-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "HEYN",
"middle_name": "ELINA",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-16",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "L.AC 12507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "L.AC 12507",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.