Individual provider Active NPI

Laurie Ellen Mann, OMD LAC MH

  • Acupuncturist
  • Agoura Hills, CA
National Provider Identifier
1538201223
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC2769 Issued in CA
Practice address
30423 Canwood Street
Suite 137
Agoura Hills, CA 91301
Phone
(818) 575-9488
Fax
(818) 575-9491
NPI assigned
Feb 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 AC2769 CA Primary

Addresses

Primary practice location

30423 Canwood Street
Suite 137
Agoura Hills, CA 91301

Mailing address

30423 Canwood Street
Suite 137
Agoura Hills, CA 91301
Phone (818) 575-9488

Other names 1

  • Dr. Laura Mann 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
AC2769CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538201223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30423 CANWOOD STREET",
            "address_2": "SUITE 137",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-575-9488",
            "fax_number": "818-575-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30423 CANWOOD STREET",
            "address_2": "SUITE 137",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-575-9488",
            "fax_number": "818-575-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "LAURIE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "OMD LAC MH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC2769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MANN",
            "prefix": "DR.",
            "credential": "OMD LAC MH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Agoura Hills, 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.