Metabody Metamind Acupuncture, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC4348 Issued in CA

Legal business name

METABODY METAMIND ACUPUNCTURE, INC.

Practice address

12340 Santa Monica Blvd Ste 302
Los Angeles, CA 90025-0348

Phone

(310) 481-0045

Fax

(310) 820-2698

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Marcella Glover

Title

Office Manager

Phone

(310) 481-0045

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roya Yazdani, L.AC.

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1497830558
  NPD

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1972029593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250348",
            "telephone_number": "310-481-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250348",
            "telephone_number": "310-481-0045",
            "fax_number": "310-820-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METABODY METAMIND ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-481-0045",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Ulyses Mestas
• Grant Mestas
• Nonda Sereatha Mester, MD
• Jorge H. Mestman, M.D.
• Ricardo Angelo Mestres III, M.D.
• Metalabs USA, LLC
• Leticia Anne Metallo, NP
• Denise Metalsky, M.S.
• Emonie Metcalf
• Charles Metcalfe, M.D.

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.