Forest Massage

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

CA14841 Issued in CA

Legal business name

FOREST MASSAGE

Practice address

24531 Trabuco Rd Ste C
Lake Forest, CA 92630-2162

Phone

(949) 595-0201

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Lin Tao

Title

Co-Owner

Phone

(949) 595-0201

Specialties & licenses 1

Addresses

Other names 1

• Forest Massage Doing business as

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1053748988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24531 TRABUCO RD STE C",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302162",
            "telephone_number": "949-595-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24531 TRABUCO RD STE C",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302162",
            "telephone_number": "949-595-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "TAO",
        "authorized_official_first_name": "LIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "949-595-0201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CA14841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Fonseca Ruiz
• Jessica A Fonseca
• Foothill Gateway Surgery Center LLC
• Foothill Surgical Institute, LLC
• Carol Ann Ford Shintani, R.N.
• Rosalie Aguilar Forestier
• Lauren Forrest
• Jeffrey Lynn Foster
• Tracie Fouret
• Guadalupe Fraga

• Acupuncturist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.