Organization Active NPI

Li Sage Acupuncture Clinic

  • Acupuncturist
  • San Gabriel, CA
National Provider Identifier
1952587438
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC8155 Issued in CA
Legal business name
LI SAGE ACUPUNCTURE CLINIC
Practice address
1017 S San Gabriel Blvd
San Gabriel, CA 91776-3112
Phone
(626) 203-9372
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Jijuan Li, LAC
Title
Owner
Phone
(626) 203-9372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X LAC8155 CA Primary

Addresses

Primary practice location

1017 S San Gabriel Blvd
San Gabriel, CA 91776-3112

Mailing address

1017 S. San Gabriel BL
San Gabriel, CA 91776
Phone (626) 203-9372

National Provider Directory

National Provider Directory

Locations

1017 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 203-9372

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1952587438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S. SAN GABRIEL BL",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-203-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763112",
            "telephone_number": "626-203-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI SAGE ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JIJUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-203-9372",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "LAC8155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.