Organization Active NPI

Xuewen Acupuncture & Herbs Medical Service Inc.

  • Acupuncturist
  • Tustin, CA
National Provider Identifier
1730510637
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15490 Issued in CA
Legal business name
XUEWEN ACUPUNCTURE & HERBS MEDICAL SERVICE INC.
Practice address
2620 Walnut Ave Ste a
Tustin, CA 92780-7028
Phone
(714) 838-7575
Fax
(714) 838-8112
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Mr. Yong Guang Mao
Title
Secretary
Phone
(714) 838-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC15490 CA Primary

Addresses

Primary practice location

2620 Walnut Ave Ste a
Tustin, CA 92780-7028

Mailing address

2620 Walnut Ave Ste a
Tustin, CA 92780-7028
Phone (714) 838-7575

National Provider Directory

National Provider Directory

Locations

2620 Walnut Ave
Ste A
Tustin, CA 92780
Phone (714) 273-5309

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1730510637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 WALNUT AVE STE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807028",
            "telephone_number": "714-838-7575",
            "fax_number": "714-838-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 WALNUT AVE STE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807028",
            "telephone_number": "714-838-7575",
            "fax_number": "714-838-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XUEWEN ACUPUNCTURE & HERBS MEDICAL SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "MAO",
        "authorized_official_first_name": "YONG GUANG",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-838-7575",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.