JL Pain Management Center Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11338 Issued in CA

Legal business name

JL PAIN MANAGEMENT CENTER INC

Doing business as

Chinese Medicine Clinic

Practice address

12199 Heacock St Ste 6
Moreno Valley, CA 92557-7107

Phone

(951) 486-9253

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Min Li, L.ACNPI 1093970956

Title

President

Phone

(626) 991-7818

Specialties & licenses 1

Addresses

Other names 1

• Chinese Medicine Clinic Doing business as

Locations

Practitioners 1

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

• Min Li, L.AC

  • Acupuncturist
  • Moreno Valley, CA
  • NPI 1093970956
  NPD (past) Authorized official

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417152968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12199 HEACOCK ST STE 6",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12199 HEACOCK ST STE 6",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577107",
            "telephone_number": "951-486-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL PAIN MANAGEMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-991-7818",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chinese Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eileen Jimenez
• Victoria Jimenez
• Xavier F Jimenez, RN, BSN
• Jin Kim Dental Corporation (Smile Dental)
• Tejas Jivan, MD
• Daniel Joe, M.D.
• Deborah Louise Joe, MSW
• Joel a Pengson, MD, a Medical Corporation
• Nevtej Johal, BA
• John Liquete MD Inc

• Acupuncturist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Acupuncturist in California

• 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.