Organization Active NPI

Pourteymoor Acupuncture, a Professional Corporation

  • Acupuncturist
  • San Pedro, CA
National Provider Identifier
1528418068
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15461 Issued in CA
Legal business name
POURTEYMOOR ACUPUNCTURE, A PROFESSIONAL CORPORATION
Practice address
795 W 9TH St
San Pedro, CA 90731-3601
Phone
(310) 519-1557
NPI assigned
Jun 15, 2016
Last updated
Jun 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Mr. Kombiz Pourteymoor, L.AC., D.C.
Title
Acupuncturist
Phone
(310) 519-1557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 15461 CA Primary

Addresses

Primary practice location

795 W 9TH St
San Pedro, CA 90731-3601

Mailing address

797 W 9TH St
San Pedro, CA 90731-3601

National Provider Directory

National Provider Directory

Locations

797 W 9th St
San Pedro, CA 90731
Phone (310) 519-1557

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1528418068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313601",
            "telephone_number": "310-519-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POURTEYMOOR ACUPUNCTURE, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "POURTEYMOOR",
        "authorized_official_first_name": "KOMBIZ",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "310-519-1557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC., D.C."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.