Jutara Srivali Teal, L.AC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

AC13184 Issued in CA

Practice address

3815 Atlantic Ave
#5
Long Beach, CA 90807-3500

Phone

(562) 896-3685

NPI assigned

Sep 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284249600000",
    "number": "1962719146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 CEDAR AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061414",
            "telephone_number": "562-896-3685",
            "fax_number": "562-595-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 ATLANTIC AVE",
            "address_2": "#5",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073500",
            "telephone_number": "562-896-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVALI TEAL",
        "first_name": "JUTARA",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "AC13184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spring Wellness Center
• Stevee Sprowl
• Theresa Spulecki
• Hilary Spyers-Duran, NP
• Lauren Squier, RD
• Srividya Venkataraman MD Inc
• Cindy Srivijittrakarn
• Magdalena Madrzyk Sroka, PA-C
• St Antoine de Padoue Health Clinic Corp.
• St John Medical Group Inc

• General Practice Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2010; 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.