Biovisage Acupuncture Facelift Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC6481 Issued in CA

Legal business name

BIOVISAGE ACUPUNCTURE FACELIFT CLINIC

Practice address

9105 W Sunset Blvd
West Hollywood, CA 90069-3106

Phone

(323) 655-8220

NPI assigned

Apr 16, 2007

Last updated

Mar 6, 2008By 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

Dr. Niloufar Gorman, LAC, MSOMNPI 1053461699

Title

President Ceo

Phone

(323) 655-8220

Specialties & licenses 1

Addresses

Other names 1

• Biovisage Clinic Other name

Locations

Practitioners 1

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.

• Niloufar Gorman, L.A.C

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1053461699
  NPD (past) Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1952526873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 AMESBURY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271304",
            "telephone_number": "323-655-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 W SUNSET BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693106",
            "telephone_number": "323-655-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOVISAGE ACUPUNCTURE FACELIFT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "NILOUFAR",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "323-655-8220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC, MSOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biovisage Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine S.J. Bi, MD
• Bernard Bierman
• Diana Bilal, LCSW
• Manoj A Biniwale, M.D.
• Bioscrip Pharmacy, Inc. (BioScrip Pharmacy)
• Kurtis Birch
• Tommy James Bishop
• Hagan Black
• Keith Lanier Black, M.D.
• Michele Blecher, NP

• Acupuncturist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.