Organization Active NPI

Ikigai Nutrition, Inc.

  • Metabolic Nutrition Registered Dietitian
  • Los Angeles, CA
National Provider Identifier
1699254532
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
86108369 Issued in CA
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

Updated by the provider on Aug 10, 2018

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)CodeLicenseStatePrimary
Metabolic Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.