D.a.C. Medical Group

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC12747 Issued in CA

Legal business name

D.A.C. MEDICAL GROUP

Practice address

18558 Gale Avenue
Suite 210
City of Industry, CA 91748

Phone

(626) 581-7828

Fax

(888) 691-2206

NPI assigned

Apr 8, 2010

Organization subpart

No

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

Authorized official

Name

Guang Di Chang, L.AC.

Title

Owner

Phone

(626) 581-7828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1104142785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18558 GALE AVENUE",
            "address_2": "SUITE 210",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "91748",
            "telephone_number": "626-581-7828",
            "fax_number": "888-691-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18558 GALE AVENUE",
            "address_2": "SUITE 210",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "91748",
            "telephone_number": "626-581-7828",
            "fax_number": "888-691-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.A.C. MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "GUANG DI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-581-7828",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Laura Cruz Cisneros
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• Acupuncturist in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.