Elysia Life Care

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC13025 Issued in CA

Legal business name

ELYSIA LIFE CARE

Practice address

1821 Wilshire Blvd Ste 500
Santa Monica, CA 90403-5679

Phone

(424) 744-8366

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Carla Vidor, L.AC DAOM

Title

Coo

Phone

(310) 924-5205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1619357415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD STE 500",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD STE 500",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035679",
            "telephone_number": "424-744-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIA LIFE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "VIDOR",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-924-5205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Queena Cho Elsea, M.D., M.P.H.
• Jamie Ann Elson-Wolin, M.D.
• Nathan Robert Elson, M.D.
• Elyse Rubenstein MD a Professional Corporation
• Elyse Rubenstein MD, a Professional Corporation
• Embody Electrology
• Emily Bejtlich, Ms, RDN Nutrition, LLC
• Emily Crandall, M.D
• Emily Iker, M.D., Inc
• Alexandra Emmons, PSY.D.

• Acupuncturist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.