McLa Acupuncture, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AC12605 Issued in CA

Legal business name

MCLA ACUPUNCTURE, INC.

Practice address

8134 Van Nuys Blvd
#100
Panorama City, CA 91402-4801

Phone

(818) 904-6700

NPI assigned

Jun 14, 2015

Organization subpart

No

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

Authorized official

Name

Manuel Canabal, L.AC.

Title

President

Phone

(310) 462-0083

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434240000000",
    "number": "1538540703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 W 138TH ST",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8134 VAN NUYS BLVD",
            "address_2": "#100",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024801",
            "telephone_number": "818-904-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLA ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-14",
        "last_updated": "2015-06-14",
        "status": "A",
        "authorized_official_last_name": "CANABAL",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-462-0083",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "AC12605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2015; 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.