Active NPI
Wildflower Acupuncture Inc.
- Acupuncturist
- Burbank, CA
National Provider Identifier
1780419929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- WILDFLOWER ACUPUNCTURE INC.
- Practice address
- 4404 W Riverside Dr Ste a
Burbank, CA 91505-4046 - Phone
- (818) 333-6324
- NPI assigned
- Sep 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura Mann, LACCHM
- Title
- Owner, Doctor of Acupuncture
- Phone
- (818) 333-6324
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
4404 W Riverside Dr Ste a
Burbank, CA 91505-4046
Mailing address
4404 W Riverside Dr Ste a
Burbank, CA 91505-4046
Phone (818) 333-6324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437856085 | Medicaid | CA |
Other names 1
- Wildflower Acupuncture
National Provider Directory
National Provider DirectoryLocations
4404 W Riverside Dr
Ste A
Burbank, CA 91505
Phone (818) 333-6324
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Studio City, CA
- NPI 1437856085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725580800000",
"number": "1780419929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4404 W RIVERSIDE DR STE A",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054046",
"telephone_number": "818-333-6324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4404 W RIVERSIDE DR STE A",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054046",
"telephone_number": "818-333-6324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILDFLOWER ACUPUNCTURE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OWNER, DOCTOR OF ACUPUNCTURE",
"authorized_official_telephone_number": "818-333-6324",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LACCHM"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437856085",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wildflower Acupuncture",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.