Active NPI
Healing Tree Medical Management, Inc.
- Acupuncturist
- Irvine, CA
National Provider Identifier
1780973289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC9915
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Acupuncturist
- Orange, CA
- NPI 1477004323
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.