Organization Active NPI

Lifeline Acupuncture & Herbs Clinic

  • Acupuncturist
  • Carmichael, CA
National Provider Identifier
1922468552
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC14392 Issued in CA
Legal business name
LIFELINE ACUPUNCTURE & HERBS CLINIC
Practice address
6728 Fair Oaks Blvd
Suite 300
Carmichael, CA 95608-3827
Phone
(916) 589-7020
Fax
(916) 979-0108
NPI assigned
Feb 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Dr. Hongjoon Lee, LAC MSNPI 1922382316
Title
Owner
Phone
(530) 756-1445

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC14392 CA Primary

Addresses

Primary practice location

6728 Fair Oaks Blvd
Suite 300
Carmichael, CA 95608-3827

Mailing address

635 Anderson Rd
Suite 12a
Davis, CA 95616-3505
Phone (530) 756-1445

National Provider Directory

National Provider Directory

Locations

6728 Fair Oaks Blvd
Ste 300
Carmichael, CA 95608
Phone (916) 797-0716

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1922468552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 ANDERSON RD",
            "address_2": "SUITE 12A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163505",
            "telephone_number": "530-756-1445",
            "fax_number": "530-756-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6728 FAIR OAKS BLVD",
            "address_2": "SUITE 300",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083827",
            "telephone_number": "916-589-7020",
            "fax_number": "916-979-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE ACUPUNCTURE & HERBS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HONGJOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-756-1445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC MS"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.