Organization Active NPI

Healing Tree Medical Management, Inc.

  • Acupuncturist
  • Irvine, CA
National Provider Identifier
1780973289
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9915 Issued in CA
Legal business name
HEALING TREE MEDICAL MANAGEMENT, INC.
Doing business as
Healing Tree Alternative Center
Practice address
14785 Jeffrey Rd
Suite 109
Irvine, CA 92618-0408
Phone
(714) 743-4990
Fax
(949) 559-3631
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Shane Lee, L.AC.
Title
President/Acupunturist
Phone
(714) 743-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC9915 CA Primary

Addresses

Primary practice location

14785 Jeffrey Rd
Suite 109
Irvine, CA 92618-0408

Mailing address

14785 Jeffrey Rd
Suite 109
Irvine, CA 92618-0408
Phone (714) 743-4990

Other names 1

  • Healing Tree Alternative Center Doing business as

National Provider Directory

National Provider Directory

Locations

7601 Commonwealth Ave
Buena Park, CA 90621
Phone (714) 949-0664

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": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1780973289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14785 JEFFREY RD",
            "address_2": "SUITE 109",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180408",
            "telephone_number": "714-743-4990",
            "fax_number": "949-559-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 JEFFREY RD",
            "address_2": "SUITE 109",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180408",
            "telephone_number": "714-743-4990",
            "fax_number": "949-559-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TREE MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT/ACUPUNTURIST",
        "authorized_official_telephone_number": "714-743-4990",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Tree Alternative Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.