Westside Acupuncture & Wellness Center, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

5165 Issued in CA

Legal business name

WESTSIDE ACUPUNCTURE & WELLNESS CENTER, INC

Practice address

11850 Wilshire Blvd
Suite 102
Los Angeles, CA 90025-6609

Phone

(310) 914-1624

Fax

(310) 696-2400

NPI assigned

Mar 10, 2009

Organization subpart

No

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

Authorized official

Name

Ricardo Miranda, L.AC.NPI 1043371297

Title

President

Phone

(310) 914-1624

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo C Miranda, L.AC.

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1043371297
  NPD (past) Authorized official

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1720229487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 WILSHIRE BLVD",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256609",
            "telephone_number": "310-914-1624",
            "fax_number": "310-696-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 WILSHIRE BLVD",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256609",
            "telephone_number": "310-914-1624",
            "fax_number": "310-696-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE ACUPUNCTURE & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-914-1624",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "5165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Weston, MSW
• Cara Westover, LMFT
• Joanne Westpoint
• Allison Deena Westreich, MS CCC-SLP
• Anne Marie Murphy Westreich, CGC
• Westside Advance Pain Management Corp
• Westside Anesthesia Group a Medical Corporation
• Westside Center for Independent Living
• Westside Counseling Center
• Westside DBT, Inc

• Multi-Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.