NPI Code Detail JSON Logo

1902317647 NPI number — CANAAN INC

NPI Number: 1902317647
Health Care Provider/Practitioner: CANAAN INC

Information about “1902317647” NPI (CANAAN INC) exists in 1902317647 in HTML format HTML  |  1902317647 in plain Text format TXT  |  1902317647 in PDF (Portable Document Format) PDF  |  1902317647 in an XML format XML  formats.

NPI Number : 1902317647 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902317647",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CANAAN 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": "PO BOX 4362",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALOS VERDES PENINSULA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90274-9587",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "424-262-1866",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5658 RAVENSPUR DR UNIT 305",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RANCHO PALOS VERDES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90275-3545",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-736-5258",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/20/2017",
    "LastUpdateDate": "10/20/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KU",
    "AuthorizedOfficialFirstName": "ALLAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "424-262-1866",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "38192",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "15769",
          "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."
        }
      ]
    }
  }
}
                
            

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