NPIMap

Organization Active NPI

East West Clinic

  • Acupuncturist
  • White Bear Lake, MN
National Provider Identifier
1841367414
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1013 Issued in MN
Legal business name
EAST WEST CLINIC
Practice address
5770 W Bald Eagle Blvd
White Bear Lake, MN 55110-6440
Phone
(651) 429-9595
Fax
(651) 429-9595
NPI assigned
Nov 29, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Ms. Colet Stella Lahoz, L.AC. RNNPI 1669549143
Title
Owner
Phone
(651) 429-9595

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)CodeLicenseStatePrimary
Acupuncturist 171100000X 1013 MN Primary

Addresses

Primary practice location

5770 W Bald Eagle Blvd
White Bear Lake, MN 55110-6440

Mailing address

5770 W Bald Eagle Blvd
White Bear Lake, MN 55110-6440
Phone (651) 429-9595

Other identifiers 2

IdentifierTypeStateIssuer
24137JEOtherMNBCBS GROUP NUMBER
55054OtherMNHP GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1841367414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 W BALD EAGLE BLVD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551106440",
            "telephone_number": "651-429-9595",
            "fax_number": "651-429-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 W BALD EAGLE BLVD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551106440",
            "telephone_number": "651-429-9595",
            "fax_number": "651-429-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "LAHOZ",
        "authorized_official_first_name": "COLET",
        "authorized_official_middle_name": "STELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-429-9595",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC. RN"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "24137JE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HP GROUP NUMBER",
            "identifier": "55054",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.