NPIMap

Organization Active NPI

Soul Branching

  • Pain Clinic/Center
  • San Pablo, CA
National Provider Identifier
1619665452
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
SOUL BRANCHING
Practice address
1864 18TH St
San Pablo, CA 94806-4429
Phone
(323) 217-3312
NPI assigned
Apr 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Lien Le, HEALTH COACHNPI 1871272492
Title
Owner
Phone
(323) 217-3312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

1864 18TH St
San Pablo, CA 94806-4429

Mailing address

1864 18TH St
San Pablo, CA 94806-4429
Phone (323) 217-3312

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1619665452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 18TH ST",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948064429",
            "telephone_number": "323-217-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 18TH ST",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948064429",
            "telephone_number": "323-217-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL BRANCHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "LIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-217-3312",
        "authorized_official_credential": "HEALTH COACH"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.