Delisa Health Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AC15517 Issued in CA

Legal business name

DELISA HEALTH INC.

Doing business as

Life Acupuncture

Practice address

139 El Camino Real
Millbrae, CA 94030-2605

Phone

(650) 889-9263

NPI assigned

Feb 23, 2015

Last updated

Feb 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Jeong, DAOM

Title

President

Phone

(650) 889-9263

Specialties & licenses 1

Addresses

Other names 1

• Life Acupuncture Doing business as

Locations

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1831581297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 EL CAMINO REAL",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302605",
            "telephone_number": "650-889-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 EL CAMINO REAL",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302605",
            "telephone_number": "650-889-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELISA HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-889-9263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "AC15517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Millbrae, CA
• Providers in Millbrae, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.