Canopy Healing Center and Acupuncture Clinic Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

CANOPY HEALING CENTER AND ACUPUNCTURE CLINIC INC.

Practice address

336 S Euclid Ave
Pasadena, CA 91101-3125

Phone

(818) 640-2033

NPI assigned

Oct 18, 2024

Organization subpart

No

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

Authorized official

Name

Marlee Jackson

Title

Owner

Phone

(818) 640-2033

Specialties & licenses 1

Addresses

Other names 1

• Canopy Healing Center Other name

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1740001197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 KENNINGTON DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061826",
            "telephone_number": "818-640-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S EUCLID AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013125",
            "telephone_number": "818-640-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOPY HEALING CENTER AND ACUPUNCTURE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-640-2033"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canopy Healing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Arielle Cannon
• Jaylin Cannon
• Elizabeth Cano-Arredondo
• Donald Cano
• Nancy Cano
• Sandra Patricia Canote, LPCC
• Earl A Canson III, M.D, MPH
• Samantha Raelyn Canter, LMFT
• David Cantor, MD
• Michelle Dianne Cantrell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.