Lake Forest Acupuncture Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC13504 Issued in CA

Legal business name

LAKE FOREST ACUPUNCTURE CLINIC

Practice address

23331 El Toro Rd
Suite 107
Lake Forest, CA 92630-4891

Phone

(949) 446-8702

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Robert Davis

Title

President/Ceo

Phone

(714) 356-1065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1194181438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23331 EL TORO RD",
            "address_2": "SUITE 107",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304891",
            "telephone_number": "949-446-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23331 EL TORO RD",
            "address_2": "SUITE 107",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304891",
            "telephone_number": "949-446-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOREST ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-356-1065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Kuechler, M.D.
• Jennifer Ann Kunic, OTR/L
• Mark Kuntz, LCSW
• Jin Kuo, RDN
• Jonathan La, PHARMD
• Lake Forest Home Care, Inc.
• Lake Forest Hospice
• Lake Forest Medical Group, Inc.
• Lake Forest Pharmacy LLC
• Lake Forest Post Acute LLC

• 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 Dec 31, 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.