Phy Corporation

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC4704 Issued in CA

Legal business name

PHY CORPORATION

Practice address

595 E Colorado Blvd
Suite 608
Pasadena, CA 91101-2039

Phone

(626) 584-3790

Fax

(626) 578-3420

NPI assigned

Oct 2, 2013

Organization subpart

No

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

Authorized official

Name

Patricia H Young, OMD, L.AC.

Title

President/Provider

Phone

(626) 584-3790

Specialties & licenses 1

Addresses

Other names 1

• Haiyan Acupuncture Clinic Former legal business name

Locations

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1770910960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD",
            "address_2": "SUITE 608",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012039",
            "telephone_number": "626-584-3790",
            "fax_number": "626-578-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD",
            "address_2": "SUITE 608",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012039",
            "telephone_number": "626-584-3790",
            "fax_number": "626-578-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "626-584-3790",
        "authorized_official_credential": "OMD, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haiyan Acupuncture Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• 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 2, 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.