NPIMap

Organization Active NPI

Eileen Henry Acupuncture, Professional Corporation

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1770809576
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 4092 Issued in CA
Legal business name
EILEEN HENRY ACUPUNCTURE, PROFESSIONAL CORPORATION
Practice address
11611 San Vicente Blvd Ste 540
Los Angeles, CA 90049-6509
Phone
(310) 826-8606
Fax
(310) 634-1891
NPI assigned
Apr 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Ms. Eileen Henry, L.AC.NPI 1487839478
Title
President
Phone
(310) 826-8606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC 4092 CA Primary

Addresses

Primary practice location

11611 San Vicente Blvd Ste 540
Los Angeles, CA 90049-6509

Mailing address

11611 San Vicente Blvd Ste 540
Los Angeles, CA 90049-6509
Phone (310) 826-8606

Other names 1

  • Brentwood Center for Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

11611 San Vicente Blvd
Ste 540
Los Angeles, CA 90049
Phone (310) 826-8606

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": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1770809576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 SAN VICENTE BLVD STE 540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496509",
            "telephone_number": "310-826-8606",
            "fax_number": "310-634-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 SAN VICENTE BLVD STE 540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496509",
            "telephone_number": "310-826-8606",
            "fax_number": "310-634-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN HENRY ACUPUNCTURE, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-826-8606",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 4092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Center for Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.