NPIMap

Organization Active NPI

Fun Lac Inc

Doing business as Upland Acupuncture & Wellness

  • Acupuncturist
  • Upland, CA
National Provider Identifier
1174903215
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC13570 Issued in CA
Legal business name
FUN LAC INC
Doing business as
Upland Acupuncture & Wellness
Practice address
77 E 7TH St Ste B
Upland, CA 91786-6601
Phone
(909) 294-6198
NPI assigned
Jun 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Shenfang Sharon Chang
Title
Owner
Phone
(858) 722-8868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC13570 CA Primary

Addresses

Primary practice location

77 E 7TH St Ste B
Upland, CA 91786-6601

Mailing address

77 E 7TH St Ste B
Upland, CA 91786-6601
Phone (909) 294-6198

Other names 1

  • Upland Acupuncture & Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fun Lac2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

77 E 7th St
Ste B
Upland, CA 91786
Phone (909) 294-6198

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1174903215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E 7TH ST STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866601",
            "telephone_number": "909-294-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E 7TH ST STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866601",
            "telephone_number": "909-294-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUN LAC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SHENFANG",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-722-8868"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upland Acupuncture & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.