Imago Wellness Acupuncture, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16816 Issued in CA

Legal business name

IMAGO WELLNESS ACUPUNCTURE, INC

Practice address

96 W Villa St
Pasadena, CA 91103-3343

Phone

(626) 399-7572

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Pei-Jen Chu

Title

Licensed Acupuncturist

Phone

(626) 399-7572

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1962956557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 ARDENDALE AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 W VILLA ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033343",
            "telephone_number": "626-399-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGO WELLNESS ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "PEI-JEN",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "626-399-7572"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.