Active NPI
St. Theresa Acupuncture Clinic Inc.
- Acupuncturist
- Norwalk, CA
National Provider Identifier
1003062217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- L.AC 11560
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.