Inner Balance Medicine, Acupuncture Corp

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

INNER BALANCE MEDICINE, ACUPUNCTURE CORP

Practice address

1121 W Vine St Ste 15
Lodi, CA 95240-5137

Phone

(209) 369-5008

Fax

(209) 713-4680

NPI assigned

Dec 11, 2019

Organization subpart

No

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

Authorized official

Name

Connie Schwartz, L.AC.NPI 1295147155

Title

Owner

Phone

(209) 570-0486

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie Schwartz, L.AC.

  • Acupuncturist
  • Lodi, CA
  • NPI 1295147155
  NPD (past) Authorized official

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1609414572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S HAM LN STE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952427502",
            "telephone_number": "209-369-5008",
            "fax_number": "209-713-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W VINE ST STE 15",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405137",
            "telephone_number": "209-369-5008",
            "fax_number": "209-713-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE MEDICINE, ACUPUNCTURE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-570-0486",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF INCORPORATION",
            "identifier": "C4263823",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@innerbalancemedicine.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1121 W Vine St Ste 15",
            "city": "Lodi",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952405137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• My Huynh, RPH
• Phi Tan Huynh, MD
• Kristin Margaret Hylton, FDNP
• Ibne Sina Community Clinic
• Inner Balance Medicine
• Innovative Senior Rehabilitation Services Inc.
• Innovative Senior Rehabilitation Services Inc. (Innovative Senior Rehab)
• Innovative Senior Rehabilitation Services, Inc. (Innovative Senior Rehab)
• Inpatient Services of California, Inc., a Medical Corporation
• Iris VND Partners LLC (Balance Assisted Living and Memory Care)

• Acupuncturist in Lodi, CA
• Providers in Lodi, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.