Organization Active NPI

Formosa Wellness Center Inc

  • Acupuncturist
  • Alhambra, CA
National Provider Identifier
1508388463
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15603 Issued in CA
Legal business name
FORMOSA WELLNESS CENTER INC
Practice address
1300 E Main St Ste 209F
Alhambra, CA 91801-4150
Phone
(909) 455-7272
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Yuhao Su, D.C., L.AC
Title
Owner
Phone
(909) 455-7272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC32674 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC15603 CA Primary

Addresses

Primary practice location

1300 E Main St Ste 209F
Alhambra, CA 91801-4150

Mailing address

1300 E Main St Ste 209F
Alhambra, CA 91801-4150
Phone (909) 455-7272

National Provider Directory

National Provider Directory

Locations

1300 E Main St
Ste 209F
Alhambra, CA 91801
Phone (909) 455-7272

529 E Valley Blvd
Ste 288A
San Gabriel, CA 91776
Phone (626) 572-9201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1508388463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E MAIN ST STE 209F",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014150",
            "telephone_number": "909-455-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MAIN ST STE 209F",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014150",
            "telephone_number": "909-455-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMOSA WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "YUHAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-455-7272",
        "authorized_official_credential": "D.C., L.AC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32674",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.