Individual provider Active NPI

Melani Jean Leonard-Cooper, L.AC

  • Acupuncturist
  • Long Beach, CA
National Provider Identifier
1417206715
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC14368 Issued in CA
Practice address
4056 Orange Ave
Long Beach, CA 90807-3717
Phone
(562) 269-5208
Fax
(562) 269-4833
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC14368 CA Primary

Addresses

Primary practice location

4056 Orange Ave
Long Beach, CA 90807-3717

Mailing address

4056 Orange Ave
Long Beach, CA 90807-3717
Phone (323) 710-6751

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

LicenseStateTypeSpecialty
AC14368CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1417206715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 ORANGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073717",
            "telephone_number": "323-710-6751",
            "fax_number": "562-269-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 ORANGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073717",
            "telephone_number": "562-269-5208",
            "fax_number": "562-269-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD-COOPER",
        "first_name": "MELANI",
        "middle_name": "JEAN",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.