Individual provider Active NPI

Jin Yan Li, MD(IN CHINA), BS

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1629134713
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 4135 Issued in CA
Practice address
2180 Westwood Blvd Ste 2H
Los Angeles, CA 90025-6352
Phone
(310) 474-3089
Fax
(310) 474-3899
NPI assigned
Dec 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 4135 CA Primary

Addresses

Primary practice location

2180 Westwood Blvd Ste 2H
Los Angeles, CA 90025-6352

Mailing address

2180 Westwood Blvd Ste 2H
Los Angeles, CA 90025-6352
Phone (310) 474-3089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
AC 4135CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Westwood Acupuncture & Herb Center, Inc Acupuncturist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629134713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 WESTWOOD BLVD STE 2H",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256352",
            "telephone_number": "310-474-3089",
            "fax_number": "310-474-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 WESTWOOD BLVD STE 2H",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256352",
            "telephone_number": "310-474-3089",
            "fax_number": "310-474-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JIN YAN",
        "name_prefix": "Mrs.",
        "credential": "MD(IN CHINA), BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 4135",
            "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 Jul 8, 2007; 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.