Organization Active NPI

Traditional Acupuncture Clinic

  • Acupuncturist
  • Walnut, CA
National Provider Identifier
1639644362
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
TRADITIONAL ACUPUNCTURE CLINIC
Practice address
20709 Golden Springs Dr
Walnut, CA 91789-3847
Phone
(626) 247-1398
NPI assigned
Oct 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Shanshan LiuNPI 1841727336
Title
Acupuncturist
Phone
(626) 247-1398

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

20709 Golden Springs Dr
Walnut, CA 91789-3847

Mailing address

5554 Newbriar Way
Chino Hills, CA 91709-8799
Phone (626) 247-1398

National Provider Directory

National Provider Directory

Locations

20709 Golden Springs Dr
Walnut, CA 91789
Phone (626) 247-1398

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": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1639644362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 NEWBRIAR WAY",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917098799",
            "telephone_number": "626-247-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20709 GOLDEN SPRINGS DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893847",
            "telephone_number": "626-247-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONAL ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "SHANSHAN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "626-247-1398"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.