NPI Code Detail JSON Logo

1720595929 NPI number — CLASSICAL ACUPUNCTURE ASSOCIATES HEALING ARTS CENTER OF SAN DIEGO, INC

NPI Number: 1720595929
Health Care Provider/Practitioner: CLASSICAL ACUPUNCTURE ASSOCIATES HEALING ARTS CENTER OF SAN DIEGO, INC

Information about “1720595929” NPI (CLASSICAL ACUPUNCTURE ASSOCIATES HEALING ARTS CENTER OF SAN DIEGO, INC) exists in 1720595929 in HTML format HTML  |  1720595929 in plain Text format TXT  |  1720595929 in PDF (Portable Document Format) PDF  |  1720595929 in an XML format XML  formats.

NPI Number : 1720595929 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720595929",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CLASSICAL ACUPUNCTURE ASSOCIATES HEALING ARTS CENTER OF SAN DIEGO, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2515 CAMINO DEL RIO S STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92108-3714",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-688-0061",
    "MailingAddressFaxNumber": "619-688-0026",
    "FirstLinePracticeLocationAddress": "2515 CAMINO DEL RIO S STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92108-3714",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-688-0061",
    "PracticeLocationAddressFaxNumber": "619-688-0026",
    "EnumerationDate": "01/09/2018",
    "LastUpdateDate": "01/09/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MOFFITT",
    "AuthorizedOfficialFirstName": "JENNIFER",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MS",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "L.AC.  DP.OM",
    "AuthorizedOfficialTelephoneNumber": "619-688-0061",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "CA8951",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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