Organization Active NPI

Mighty River Wellness

  • Acupuncturist
  • Studio City, CA
National Provider Identifier
1861921066
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC16264 Issued in CA
Legal business name
MIGHTY RIVER WELLNESS
Practice address
11650 Riverside Dr Ste 1
Studio City, CA 91602-1066
Phone
(818) 760-4808
NPI assigned
Jun 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Rebecca Hoehn, LAC
Title
Owner
Phone
(818) 760-4808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC16264 CA Primary

Addresses

Primary practice location

11650 Riverside Dr Ste 1
Studio City, CA 91602-1066

Mailing address

11650 Riverside Dr. PH1
Studio City, CA 91602
Phone (818) 760-4808

Other names 1

  • Mighty River Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

11650 Riverside Dr
Ste 1
Studio City, CA 91602
Phone (818) 643-0517

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861921066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 RIVERSIDE DR. PH1",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "91602",
            "telephone_number": "818-760-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 RIVERSIDE DR STE 1",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916021066",
            "telephone_number": "818-760-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY RIVER WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOEHN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-760-4808",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mighty River Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.