WUXIA INTEGRATIVE MEDICINE (NPI# 1164900965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164900965 |
| Entity Type | Organization |
| Organization Name | WUXIA INTEGRATIVE MEDICINE |
| Other Organization Name | WUXIA INTEGRATIVE MEDICINE |
| Practice Address |
2595 E Washington Blvd Ste 108 Pasadena CA 91107-1409 |
| Mailing Address |
1550 Mirasol Dr San Marino CA 91108-2737 |
| Practice Telephone | 6266393887 |
| Practice Fax Number | 6266885889 |
| Mailing Telephone | 3236393372 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2020-05-01 |
| Authorized Official Name | JEANNIE WONG (PRESIDENT) |
| Authorized Official Telephone | 6266393887 |
| Authorized Official Credential | L.AC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
AC17768 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI INDIVIDUAL JEANNIE WONG | 1831690783 | 01 |
| Other Name | Type Code |
|---|---|
| Wuxia Acupuncture Medicine | Doing Business As Name - Organization |
| Wuxia Integrative Medicine | Former Legal Business Name - Organization |
| Street Address |
2595 E WASHINGTON BLVD STE 108 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750752630 | Sang Hyun Lee | Acupuncturist | 2595 E Washington Blvd Ste 108, Pasadena, CA 91107-1409 | 2015-10-16 |
| 1477152684 | Else Mandoe | Occupational Therapist | 2595 E Washington Blvd Ste 108, Pasadena, CA 91107-1409 | 2020-10-19 |
| 1285274654 | Jose Parra-ruiz | Massage Therapist | 2595 E Washington Blvd Ste 108, Pasadena, CA 91107-1409 | 2020-01-13 |
| 1831690783 | Jeannie Wong | Acupuncturist | 2595 E Washington Blvd Ste 108, Pasadena, CA 91107-1409 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235437450 | James A. Macer, M D A Professional Corp | Clinic/Center | 10 Congress St Ste 400, Pasadena, CA 91105-3020 | 2011-03-11 |
| 1558542076 | Gloria De Olarte M.d. Inc. | Clinic/Center | 65 N.madison Avenue, Suite 406, Pasadena, CA 91101 | 2007-11-27 |
| 1114358249 | Shriners Hospitals for Children | Clinic/Center | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2013-11-27 |
| 1467886549 | Healthy Living Medical, Inc | Clinic/Center | 301 S Fair Oaks Ave, Suite 404, Pasadena, CA 91105-2561 | 2013-08-26 |
| 1063854883 | Delgado Medical Group LLC | Clinic/Center | 3910 Fairmont Pkwy, Suite H, Pasadena, TX 77504-3076 | 2013-07-22 |
| 1528332657 | Ayman Saad Md Inc | Clinic/Center | 39 Congress St, Suite 201a, Pasadena, CA 91105-3024 | 2012-03-07 |
| 1053602250 | Valerie P. Myers, M.d. Inc | Clinic/Center | 10 Congress St, #400, Pasadena, CA 91105-3045 | 2011-04-22 |
| 1689987505 | Gerald T. Bowns, M.d., A Professional Corporation | Clinic/Center | 10 Congress St, Suite 340, Pasadena, CA 91105-3045 | 2010-07-20 |
| 1831416734 | Pasadena Pellet Therapy, Inc. | Clinic/Center | 625 S Fair Oaks Ave, Suite 255, Pasadena, CA 91105-2613 | 2010-05-01 |
| 1285878017 | Scott L Carder Md Phd PC | Clinic/Center | 259 S Euclid Ave, Pasadena, CA 91101-2717 | 2009-04-23 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.