Alda Medispa LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ALDA MEDISPA LLC

Practice address

13890 Braddock Rd Ste 205
Centreville, VA 20121-2437

Phone

(571) 559-4990

NPI assigned

Jan 22, 2024

Last updated

Mar 10, 2024By 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

Mijung Lee

Title

General Partner

Phone

(571) 559-4990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710028800000",
    "number": "1982465548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD STE 205",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212437",
            "telephone_number": "571-559-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD STE 205",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212437",
            "telephone_number": "571-559-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDA MEDISPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MIJUNG",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "571-559-4990"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shazia Iram Ahmad
• Ashok Kumar Ahuja, MD
• Margaret Aiello
• Anmar Al-Janabi, BDS, MSD, MEC
• Thamer Alanazi
• Mercedes Helena Alfaro, PH.D.
• Alaa Alkhalil, PHARM-D
• All Eyes Optometrists, PC
• All Female OB/GYN
• Stacy J Allouche, PT

• Acupuncturist in Centreville, VA
• Providers in Centreville, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; 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.