NPIMap

Organization Active NPI

Ananda Acupuncture Group, Inc.

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1609121490
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4573 Issued in CA
Legal business name
ANANDA ACUPUNCTURE GROUP, INC.
Practice address
1161 Crenshaw Blvd
Los Angeles, CA 90019-3112
Phone
(213) 760-1033
Fax
(877) 234-2675
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Young Gil Jang, L.AC.
Title
President
Phone
(213) 760-1033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC4573 CA Primary

Addresses

Primary practice location

1161 Crenshaw Blvd
Los Angeles, CA 90019-3112

Mailing address

1161 Crenshaw Blvd
Los Angeles, CA 90019-3112
Phone (213) 760-1033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1609121490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193112",
            "telephone_number": "213-760-1033",
            "fax_number": "877-234-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193112",
            "telephone_number": "213-760-1033",
            "fax_number": "877-234-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANANDA ACUPUNCTURE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "YOUNG GIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-760-1033",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.