Aryani Boedisantoso

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

13315 W Washington Blvd
Los Angeles, CA 90066-5169

Phone

(310) 577-3006

NPI assigned

Jan 21, 2010

Last updated

Jan 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yo San University of Traditional Chinese Medicine

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1740763580
  NPD (past)

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1588995161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8459 S 11TH AVE APT C",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903053943",
            "telephone_number": "323-206-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13315 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665169",
            "telephone_number": "310-577-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEDISANTOSO",
        "first_name": "ARYANI",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Physical Therapy Inc.
• Body Rehab Center
• Bodysync Physical Therapy P.C. (BodySync Physical Therapy)
• Maria Ines Boechat, MD
• Isabella Boedefeld
• Philip Goldman Boekelheide, PA-C
• Jillian Boelke
• Zane Joseph Boerner
• Thomas Paul Bogaard, MD
• Morgan Bogad

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.