MB Laser Rehab Center

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11053 Issued in CA

Legal business name

MB LASER REHAB CENTER

Practice address

519 Parrott St
San Jose, CA 95112-4121

Phone

(408) 406-8889

Fax

(408) 283-9318

NPI assigned

Aug 16, 2007

Last updated

Feb 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jessie Duong

Title

Director

Phone

(408) 406-8889

Specialties & licenses 5

Addresses

Locations

Practitioners 2

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.

• Long T Le, D.C.

  • Orthopedic Chiropractor
  • San Francisco, CA
  • NPI 1730155342
  NPD (past)
• Vu Van Le, D.C.

  • Chiropractor
  • San Jose, CA
  • NPI 1346417144

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1932391638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 HERITAGE ESTATES DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483804",
            "telephone_number": "408-406-8889",
            "fax_number": "408-283-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 PARROTT ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124121",
            "telephone_number": "408-406-8889",
            "fax_number": "408-283-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB LASER REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-406-8889",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC30915",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC29924",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC27342",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC30725",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Maze
• Peter D Mazonson, MD
• Asefeh Mazraeh
• Gregory Marc Mazzie, PHARMD
• Ronit Mazzoni, MS
• Sharon Mbabazi
• Chukwuemeka Mbadiwe
• Isata S Mbawa, LPT
• Rosemary Kwaye Mbongo, MSW INTERN
• Simon Nfosak Mbongo, LVN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.