Active NPI
Ikigai Nutrition, Inc.
- Metabolic Nutrition Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1699254532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 86108369
- Legal business name
- IKIGAI NUTRITION, INC.
- Practice address
- 10501 Wilshire Blvd Ste 604
Los Angeles, CA 90024-6325 - Phone
- (323) 628-3158
- NPI assigned
- Aug 10, 2018
- 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
- Angie Wu, MS, RDN
- Title
- Ceo
- Phone
- (323) 628-3158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 86108369 | CA | Primary |
Addresses
Primary practice location
10501 Wilshire Blvd Ste 604
Los Angeles, CA 90024-6325
Mailing address
10501 Wilshire Blvd Unit 1703
Los Angeles, CA 90024-6318
Phone (323) 628-3158
National Provider Directory
National Provider DirectoryLocations
10501 Wilshire Blvd
Ste 604
Los Angeles, CA 90024
Phone (323) 628-3158
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533859200000",
"number": "1699254532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 WILSHIRE BLVD UNIT 1703",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900246318",
"telephone_number": "323-628-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 WILSHIRE BLVD STE 604",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900246325",
"telephone_number": "323-628-3158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IKIGAI NUTRITION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-10",
"last_updated": "2018-08-10",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "ANGIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-628-3158",
"authorized_official_credential": "MS, RDN"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "86108369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.