Organization Active NPI

St. Theresa Acupuncture Clinic Inc.

  • Acupuncturist
  • Norwalk, CA
National Provider Identifier
1003062217
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
L.AC 11560 Issued in CA
Legal business name
ST. THERESA ACUPUNCTURE CLINIC INC.
Practice address
13821 San Antonio Dr
Norwalk, CA 90650-4034
Phone
(562) 484-0640
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chin Gang, L.AC
Title
President
Phone
(562) 484-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X L.AC 11560 CA Primary

Addresses

Primary practice location

13821 San Antonio Dr
Norwalk, CA 90650-4034

Mailing address

13821 San Antonio Dr
Norwalk, CA 90650-4034
Phone (562) 484-0640

National Provider Directory

National Provider Directory

Locations

13821 San Antonio Dr
Norwalk, CA 90650
Phone (213) 258-5610

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1003062217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13821 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504034",
            "telephone_number": "562-484-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13821 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504034",
            "telephone_number": "562-484-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. THERESA ACUPUNCTURE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "GANG",
        "authorized_official_first_name": "CHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-484-0640",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "L.AC 11560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.