Grossmont Medical Center Acupuncture Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC10036 Issued in CA

Legal business name

GROSSMONT MEDICAL CENTER ACUPUNCTURE CLINIC

Practice address

5565 Grossmont Center Dr Ste 500 BLDG 3
La Mesa, CA 91942-3024

Phone

(619) 465-8800

Fax

(619) 465-8808

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ghassan Elkhoury, L.AC.

Title

Partner

Phone

(619) 465-8800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508914128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 500 BLDG 3",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423024",
            "telephone_number": "619-465-8800",
            "fax_number": "619-465-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 500 BLDG 3",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423024",
            "telephone_number": "619-465-8800",
            "fax_number": "619-465-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMONT MEDICAL CENTER ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELKHOURY",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "619-465-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grossmont Hospital Corporation
• Grossmont Hospital Corporation
• Grossmont Hospital Corporation
• Grossmont Imaging, LLC
• Grossmont Ipg LTD
• Grossmont Medical Clinic a Professional Corporation
• Grossmont OB/GYN Medical Group Inc
• Grossmont Outpatient Surgical Center
• Grossmont Pediatrics Operated by Neighborhood Healthcare
• Grossmont Skilled Care, Inc.

• Acupuncturist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.