La Brea Acupuncture & Herb Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC10851 Issued in CA

Legal business name

LA BREA ACUPUNCTURE & HERB CLINIC

Practice address

730 N la Brea Ave
Los Angeles, CA 90038-3339

Phone

(323) 931-5454

NPI assigned

Mar 16, 2009

Last updated

Mar 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olivia Jung, LAC

Title

President

Phone

(323) 931-5454

Specialties & licenses 1

Addresses

Tax ID family

La Brea Acupuncture Herb Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nanoom Investment LLC

  dba La Brea Acupuncture & Herb Clinic

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1942440037
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yu Jung Chong, LAC

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1407094857
  NPD (past)

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1700027182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383339",
            "telephone_number": "323-931-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383339",
            "telephone_number": "323-931-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BREA ACUPUNCTURE & HERB CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-931-5454",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Acucare
• La Agape Chiropractic & Healing Center, Inc.
• La Alternative Medical Center
• Monika La Barbera
• Desarai La Boy
• La Brea Healing Center Inc.
• La Brea Rehabilitation Center, LLC
• La Brea RX Inc (Windsor Hills Pharmacy)
• La Cada Homeless Outreach Program
• La Car Service

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.