Active NPI
Life Herbs Acupuncture Inc
- Health Maintenance Organization
- Gardena, CA
National Provider Identifier
1649643784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- AC8057
- Legal business name
- LIFE HERBS ACUPUNCTURE INC
- Practice address
- 555 W Redondo Beach Blvd
Ste 111
Gardena, CA 90248-1612 - Phone
- (310) 756-0001
- NPI assigned
- Nov 11, 2015
- Last updated
- Nov 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dong Park
- Title
- Acupuncturist
- Phone
- (213) 700-9314
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | AC8057 | CA | Primary |
Addresses
Primary practice location
555 W Redondo Beach Blvd
Ste 111
Gardena, CA 90248-1612
Mailing address
555 W Redondo Beach Blvd
Ste 111
Gardena, CA 90248-1612
National Provider Directory
National Provider DirectoryLocations
1045 W Redondo Beach Blvd
Ste 210
Gardena, CA 90247
Phone (213) 700-9314
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Acupuncturist
- Gardena, CA
- NPI 1346572377
-
- Acupuncturist
- Los Angeles, CA
- NPI 1720307556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447200000000",
"number": "1649643784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W REDONDO BEACH BLVD",
"address_2": "STE 111",
"city": "GARDENA",
"state": "CA",
"postal_code": "902481612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W REDONDO BEACH BLVD",
"address_2": "STE 111",
"city": "GARDENA",
"state": "CA",
"postal_code": "902481612",
"telephone_number": "310-756-0001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE HERBS ACUPUNCTURE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-11",
"last_updated": "2015-11-11",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "DONG",
"authorized_official_title_or_position": "ACUPUNCTURIST",
"authorized_official_telephone_number": "213-700-9314",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": "AC8057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.