Healthy Life Acupuncture Center

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC8229 Issued in CA

Legal business name

HEALTHY LIFE ACUPUNCTURE CENTER

Practice address

1241 S Soto St Ste 110
Los Angeles, CA 90023-2666

Phone

(323) 264-3288

Fax

(323) 264-0288

NPI assigned

Jan 30, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kimi Xiao Gudmunsen, L.AC.,O.M.D., PH.D

Title

Acupuncturist

Phone

(323) 264-3288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1396983250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 S SOTO ST STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232666",
            "telephone_number": "323-264-3288",
            "fax_number": "323-264-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S SOTO ST STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232666",
            "telephone_number": "323-264-3288",
            "fax_number": "323-264-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFE ACUPUNCTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "GUDMUNSEN",
        "authorized_official_first_name": "KIMI",
        "authorized_official_middle_name": "XIAO",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "323-264-3288",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC.,O.M.D., PH.D"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Choice Med Sup
• Healthy Destinations Healthcare, Inc.
• Healthy Future Services Inc
• Healthy Healing Wound Care
• Healthy Land
• Healthy Life Bariatrics a Professional Corporation
• Healthy Life Diagnostics, Inc.
• Healthy Qi Acupuncture Corp.
• Healthylife,Inc
• Healwell Management LLC

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.