NPIMap

Organization Active NPI

Health Clinic of Southern Ca

  • Acupuncturist
  • Encino, CA
National Provider Identifier
1639472103
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11428 Issued in CA
Legal business name
HEALTH CLINIC OF SOUTHERN CA
Practice address
17337 Ventura Blvd
Suite 203
Encino, CA 91316-3903
Phone
(818) 990-5321
Fax
(818) 990-6953
NPI assigned
Dec 6, 2010
Last updated
Dec 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Dr. Neda Mehrabani Ladjevardi, D.C,LAC
Title
Owner
Phone
(818) 990-5321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC25902 CA
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC11428 CA Primary

Addresses

Primary practice location

17337 Ventura Blvd
Suite 203
Encino, CA 91316-3903

Mailing address

17337 Ventura Blvd
Suite 203
Encino, CA 91316-3903
Phone (818) 990-5321

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1639472103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD",
            "address_2": "SUITE 203",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163903",
            "telephone_number": "818-990-5321",
            "fax_number": "818-990-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD",
            "address_2": "SUITE 203",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163903",
            "telephone_number": "818-990-5321",
            "fax_number": "818-990-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CLINIC OF SOUTHERN CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "LADJEVARDI",
        "authorized_official_first_name": "NEDA",
        "authorized_official_middle_name": "MEHRABANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-990-5321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25902",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.