NPIMap

Organization Active NPI

New Life Acupuncture & Herb Center, Inc.

  • Acupuncturist
  • South Pasadena, CA
National Provider Identifier
1669883187
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
12237 Issued in CA
Legal business name
NEW LIFE ACUPUNCTURE & HERB CENTER, INC.
Practice address
507 Mission St
South Pasadena, CA 91030-3035
Phone
(626) 340-1489
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Fanjie Meng, L. AC., D.O.M.
Title
Chief Financial Officer
Phone
(626) 340-1489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 12237 CA Primary

Addresses

Primary practice location

507 Mission St
South Pasadena, CA 91030-3035

Mailing address

3453 Mary Ann St
La Crescenta, CA 91214-2537
Phone (626) 340-1489

Other identifiers 1

IdentifierTypeStateIssuer
1881978583OtherCASOLE PROPRIETOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1669883187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 MARY ANN ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142537",
            "telephone_number": "626-340-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MISSION ST",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303035",
            "telephone_number": "626-340-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE ACUPUNCTURE & HERB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "MENG",
        "authorized_official_first_name": "FANJIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "626-340-1489",
        "authorized_official_credential": "L. AC.,  D.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETOR",
            "identifier": "1881978583",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.