Active NPI
Lisa Weber, LAC
- Acupuncturist
- Glendale, CA
National Provider Identifier
1710409131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17701
- Practice address
- 1505 Wilson Ter Ste 250
Glendale, CA 91206-4075 - Phone
- (949) 836-2305
- NPI assigned
- Jul 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 17701 | CA | Primary |
Addresses
Primary practice location
1505 Wilson Ter Ste 250
Glendale, CA 91206-4075
Mailing address
2355 Westwood Blvd # 652
Los Angeles, CA 90064-2109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499385600000",
"number": "1710409131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 WESTWOOD BLVD # 652",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 WILSON TER STE 250",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064075",
"telephone_number": "949-836-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "LISA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2017-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "17701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.