Active NPI
Irene Du Nguyen, L.AC
- Acupuncturist
- La Mirada, CA
National Provider Identifier
1710761754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC19744
- Practice address
- 14758 Beach Blvd
La Mirada, CA 90638-4250 - Phone
- (562) 646-7476
- NPI assigned
- Aug 21, 2023
- Last updated
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
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 | AC19744 | CA | Primary |
Addresses
Primary practice location
14758 Beach Blvd
La Mirada, CA 90638-4250
Mailing address
14758 Beach Blvd
La Mirada, CA 90638-4250
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC19744 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Srotas | Acupuncturist | Current | Accepting new patients |
Locations
14758 Beach Blvd
La Mirada, CA 90638
Phone (562) 646-7476
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1710761754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14758 BEACH BLVD",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906384250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14758 BEACH BLVD",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906384250",
"telephone_number": "562-646-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "IRENE",
"middle_name": "DU",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC19744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.