NPI Code Detail JSON Logo

1801943022 NPI number — 3 ANGELS HEALTH CENTER, INC.

NPI Number: 1801943022
Health Care Provider/Practitioner: 3 ANGELS HEALTH CENTER, INC.

Information about “1801943022” NPI (3 ANGELS HEALTH CENTER, INC.) exists in 1801943022 in HTML format HTML  |  1801943022 in plain Text format TXT  |  1801943022 in PDF (Portable Document Format) PDF  |  1801943022 in an XML format XML  formats.

NPI Number : 1801943022 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801943022",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "3 ANGELS HEALTH CENTER, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "250 N ROBERTSON BLVD",
    "SecondLineMailingAddress": "SUITE 516",
    "MailingAddressCityName": "BEVERLY HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90211-1788",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-859-7696",
    "MailingAddressFaxNumber": "310-859-7699",
    "FirstLinePracticeLocationAddress": "250 N ROBERTSON BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 516",
    "PracticeLocationAddressCityName": "BEVERLY HILLS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90211-1788",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-859-7696",
    "PracticeLocationAddressFaxNumber": "310-859-7699",
    "EnumerationDate": "01/03/2007",
    "LastUpdateDate": "01/25/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SONG",
    "AuthorizedOfficialFirstName": "EUN JEONG",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ACUPUNCTURIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PH.D, L.AC.",
    "AuthorizedOfficialTelephoneNumber": "310-859-7696",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC12865",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC10601",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC8225",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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