Organization Active NPI

Ym Life Tree Inc

  • Acupuncturist
  • La Puente, CA
National Provider Identifier
1659865392
Registry record updated Jun 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC16993 Issued in CA
Legal business name
YM LIFE TREE INC
Practice address
13901 Amar Rd # Ab7-8
La Puente, CA 91746-1670
Phone
(714) 392-8962
Fax
(626) 364-3083
NPI assigned
Jun 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2018

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

Authorized official

Name
Hyeongjin Youn, LAC
Title
Ceo
Phone
(714) 392-8962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC16993 CA Primary

Addresses

Primary practice location

13901 Amar Rd # Ab7-8
La Puente, CA 91746-1670

Mailing address

13901 Amar Rd # Ab7-8
La Puente, CA 91746-1670
Phone (714) 392-8962

National Provider Directory

National Provider Directory

Locations

13901 Amar Rd
#78
La Puente, CA 91746
Phone (714) 392-8962

NPI Registry JSON

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

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529193600000",
    "number": "1659865392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 AMAR RD # AB7-8",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917461670",
            "telephone_number": "714-392-8962",
            "fax_number": "626-364-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 AMAR RD # AB7-8",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917461670",
            "telephone_number": "714-392-8962",
            "fax_number": "626-364-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YM LIFE TREE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-17",
        "last_updated": "2018-06-17",
        "status": "A",
        "authorized_official_last_name": "YOUN",
        "authorized_official_first_name": "HYEONGJIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-392-8962",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.