Classical Oriental Medicine LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AP2398 Issued in FL

Legal business name

CLASSICAL ORIENTAL MEDICINE LLC

Practice address

3459 W Woolbright Rd
Boynton Beach, FL 33436-7246

Phone

(561) 932-3905

NPI assigned

Jan 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nelya De Brun

Title

Owner

Phone

(561) 932-3905

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1881925352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367246",
            "telephone_number": "561-932-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367246",
            "telephone_number": "561-932-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSICAL ORIENTAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-24",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "DE BRUN",
        "authorized_official_first_name": "NELYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-932-3905",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "AP2398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanairy P Clapso
• Christine Michelle Clark, MS
• Tracy Ann Clark, H.A.S.
• Andrea Clarke Taylor, RN
• Sabrina Clarke, APRN
• Westklick Claude
• Gladys Gricel Claxton, CSA
• Clayton Supply Resources LLC
• Clear Waves Counseling LLC
• Clearly Derm, LLC

• Health Service Clinic/Center in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.