Jennifer Randolph Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16368 Issued in CA

Legal business name

JENNIFER RANDOLPH ACUPUNCTURE

Practice address

302 W 5TH St
Suite 101
San Pedro, CA 90731-2738

Phone

(310) 832-5818

Fax

(310) 832-7236

NPI assigned

Mar 8, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Randolph, L.AC.

Title

Licensed Acupuncturist

Phone

(310) 832-5818

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1922548031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 5TH ST",
            "address_2": "SUITE 101",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312738",
            "telephone_number": "310-832-5818",
            "fax_number": "310-832-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 5TH ST",
            "address_2": "SUITE 101",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312738",
            "telephone_number": "310-832-5818",
            "fax_number": "310-832-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER RANDOLPH ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "310-832-5818",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16368",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.