Avicenna Wellness Center

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

11722 Issued in CA

Legal business name

AVICENNA WELLNESS CENTER

Practice address

20914 Nordhoff St
Suite 102
Chatsworth, CA 91311-5934

Phone

(818) 718-9707

NPI assigned

May 22, 2009

Last updated

May 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amir Maghsoodi, L.AC.NPI 1699982058

Title

President

Phone

(818) 718-9700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amir Maghsoodi, L.AC. LMT

  • Acupuncturist
  • Chatsworth, CA
  • NPI 1699982058
  Authorized official Same address or phone

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1760617534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20914 NORDHOFF ST",
            "address_2": "SUITE 102",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913115934",
            "telephone_number": "818-718-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20914 NORDHOFF ST",
            "address_2": "SUITE 102",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913115934",
            "telephone_number": "818-718-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "MAGHSOODI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-718-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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