Organization Active NPI

Mojave Holistic Clinic

  • Acupuncturist
  • Apple Valley, CA
National Provider Identifier
1467714923
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC5176 Issued in CA
Legal business name
MOJAVE HOLISTIC CLINIC
Practice address
22633 US Highway 18
# A
Apple Valley, CA 92307-4371
Phone
(760) 247-7148
Fax
(760) 247-7114
NPI assigned
Jun 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Ms. Yifang Liu
Title
Business Owner
Phone
(760) 247-7148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC5176 CA Primary

Addresses

Primary practice location

22633 US Highway 18
# A
Apple Valley, CA 92307-4371

Mailing address

22633 US Highway 18
# A
Apple Valley, CA 92307-4371
Phone (760) 247-7148

National Provider Directory

National Provider Directory

Locations

22633 US Highway 18
Ste A
Apple Valley, CA 92307
Phone (760) 247-7148

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1467714923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22633 US HIGHWAY 18",
            "address_2": "# A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923074371",
            "telephone_number": "760-247-7148",
            "fax_number": "760-247-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22633 US HIGHWAY 18",
            "address_2": "# A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923074371",
            "telephone_number": "760-247-7148",
            "fax_number": "760-247-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJAVE HOLISTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "YIFANG",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "760-247-7148",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.