Green Nova Acupuncture Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

7646 Issued in CA

Legal business name

GREEN NOVA ACUPUNCTURE CLINIC

Practice address

9942 Lakewood Blvd
Downey, CA 90240

Phone

(562) 861-6684

Fax

(562) 861-6684

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Wenlin RenNPI 1942524392

Title

President

Phone

(562) 861-6684

Specialties & licenses 1

Addresses

Other names 1

• Green Nova Enterprise Inc Doing business as

Locations

Practitioners 2

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

• Wenlin Ren

  • Acupuncturist
  • Downey, CA
  • NPI 1942524392
  NPD (past) Authorized official
• Guangbing Qu, ACUPUNCTURIST

  • Acupuncturist
  • Downey, CA
  • NPI 1124341540
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659496701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9942 LAKEWOOD BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90240",
            "telephone_number": "562-861-6684",
            "fax_number": "562-861-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9942 LAKEWOOD BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90240",
            "telephone_number": "562-861-6684",
            "fax_number": "562-861-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN NOVA ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REN",
        "authorized_official_first_name": "WENLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-861-6684"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "7646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Nova Enterprise Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dominique Granberri
• Abigail Grande Zavala
• Steve W Gray, PHARMD
• Tyji Gray
• Irving Greagor
• Alana Green
• Chennel Teira Green
• Dana Green, CPO
• Lorellen Marie Green, MD
• Nicole M Green, PHD

• Acupuncturist in Downey, CA
• Providers in Downey, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.