Organization Active NPI

TLC Medicine

  • Acupuncturist
  • Mill Valley, CA
National Provider Identifier
1497108146
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15612 Issued in CA
Legal business name
TLC MEDICINE
Practice address
16 Miller Ave
Suite 204
Mill Valley, CA 94941-1931
Phone
(415) 758-1682
Fax
(415) 590-3953
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Teresa Lau, L.AC.
Title
Sole Proprietor
Phone
(415) 758-1682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC15612 CA Primary

Addresses

Primary practice location

16 Miller Ave
Suite 204
Mill Valley, CA 94941-1931

Mailing address

74 Billou St
San Rafael, CA 94901-5101
Phone (510) 206-9323

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1497108146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BILLOU ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015101",
            "telephone_number": "510-206-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MILLER AVE",
            "address_2": "SUITE 204",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411931",
            "telephone_number": "415-758-1682",
            "fax_number": "415-590-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "415-758-1682",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.