Greenlife Acupuncture Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11989 Issued in CA

Legal business name

GREENLIFE ACUPUNCTURE INC

Practice address

520 N Brookhurst St Ste 102
Anaheim, CA 92801-5207

Phone

(714) 312-5460

Fax

(714) 312-5460

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Andy MoNPI 1568612976

Title

Manager

Phone

(909) 263-0333

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.

• Andy Myungsoo Mo, L.AC, PH.D.

  • Acupuncturist
  • Anaheim, CA
  • NPI 1568612976
  NPD Authorized official

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1760934111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 BEACON ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353104",
            "telephone_number": "714-312-5460",
            "fax_number": "714-312-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N BROOKHURST ST STE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015207",
            "telephone_number": "714-312-5460",
            "fax_number": "714-312-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLIFE ACUPUNCTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "MO",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-263-0333"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Anne Greenberg, LPT
• Jennifer Greene, DPT
• Rainah L Greene
• Greenleaf Home Care
• Greenleaf Hospice, Inc.
• Murray Andrew Greenwood, MD
• Tania Zohair Greenwood, MSW
• Greg Western and Associates Psychotherapy, PC
• Joseph Houston Greiner, D.D.S.
• Rickinder Grewal, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.