Acupuncture Family Healthcare Clinic, Apc

Key facts

NPI

1689157141

Entity type

Organization (NPI type 2)

Primary specialty

Counselor 101Y00000X

Legal business name

ACUPUNCTURE FAMILY HEALTHCARE CLINIC, APC

Practice address

2655 1St St Ste 345
Simi Valley, CA 93065-1553

Phone

(805) 864-9290

Fax

(805) 864-9291

NPI assigned

Sep 11, 2018

Organization subpart

No

Authorized official

Name

Bennett Annan, EDD

Title

MFT

Phone

(805) 864-9290

Practitioners 1

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

• Marjan Sadeghi Acupuncturist · Simi Valley, CA · NPI 1972900850
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2018.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1689157141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 1ST ST STE 345",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651553",
            "telephone_number": "805-864-9290",
            "fax_number": "805-864-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 1ST ST STE 345",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651553",
            "telephone_number": "805-864-9290",
            "fax_number": "805-864-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE FAMILY HEALTHCARE CLINIC, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "ANNAN",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_title_or_position": "MFT",
        "authorized_official_telephone_number": "805-864-9290",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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