Individual provider Active NPI

Shahla Gurudev Khalsa, L.AC.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1477670917
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3357 Issued in CA
Practice address
5880 San Vicente Blvd
Suite 103
Los Angeles, CA 90019-6627
Phone
(323) 936-0521
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC3357 CA Primary

Addresses

Primary practice location

5880 San Vicente Blvd
Suite 103
Los Angeles, CA 90019-6627

Mailing address

5880 San Vicente Blvd
Suite 103
Los Angeles, CA 90019-6627
Phone (323) 936-0521

Other names 1

  • Gurudev Kaur Khalsa Professional name

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
AC3357CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477670917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 SAN VICENTE BLVD",
            "address_2": "SUITE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196627",
            "telephone_number": "323-936-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 SAN VICENTE BLVD",
            "address_2": "SUITE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196627",
            "telephone_number": "323-936-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "SHAHLA",
        "middle_name": "GURUDEV",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GURUDEV",
            "last_name": "KHALSA",
            "middle_name": "KAUR",
            "credential": "L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.