NPIMap

Organization Active NPI

Back & Joint Alternative Medicine

  • Acupuncturist
  • Palm Desert, CA
National Provider Identifier
1467002899
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BACK & JOINT ALTERNATIVE MEDICINE
Practice address
72875 Fred Waring Dr Ste B
Palm Desert, CA 92260-9403
Phone
(730) 340-0080
NPI assigned
Sep 17, 2019
Last updated
Sep 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Jong Lee
Title
Lac, Owner
Phone
(760) 340-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

72875 Fred Waring Dr Ste B
Palm Desert, CA 92260-9403

Mailing address

72875 Fred Waring Dr Ste B
Palm Desert, CA 92260-9403
Phone (730) 340-0080

National Provider Directory

National Provider Directory

Locations

72875 Fred Waring Dr
Ste B
Palm Desert, CA 92260
Phone (730) 340-0080

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1467002899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72875 FRED WARING DR STE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609403",
            "telephone_number": "730-340-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72875 FRED WARING DR STE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609403",
            "telephone_number": "730-340-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK & JOINT ALTERNATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONG",
        "authorized_official_title_or_position": "LAC, OWNER",
        "authorized_official_telephone_number": "760-340-0080"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.