Ivy Acupuncture & Herbal House

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

8680 Issued in CA

Legal business name

IVY ACUPUNCTURE & HERBAL HOUSE

Practice address

20265 Valley Blvd Ste E
Walnut, CA 91789-2655

Phone

(909) 869-8501

Fax

(909) 869-8401

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Liteh Chang, L.AC.

Title

Vice President

Phone

(909) 869-8501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720159015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20265 VALLEY BLVD STE E",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892655",
            "telephone_number": "909-869-8501",
            "fax_number": "909-869-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20265 VALLEY BLVD STE E",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892655",
            "telephone_number": "909-869-8501",
            "fax_number": "909-869-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY ACUPUNCTURE & HERBAL HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "LITEH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-869-8501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "8680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Walnut, CA
• Providers in Walnut, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.