Active NPI
Lan Chang, L.AC
- Acupuncturist
- San Gabriel, CA
National Provider Identifier
1275617458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC5733
- Practice address
- 206 E Las Tunas Dr
Suite 6
San Gabriel, CA 91776-1411 - Phone
- (626) 285-2858
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC5733 | CA | Primary |
Addresses
Primary practice location
206 E Las Tunas Dr
Suite 6
San Gabriel, CA 91776-1411
Mailing address
PO Box 1119
San Gabriel, CA 91778-1119
Phone (626) 285-2858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC5733 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC5733 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1275617458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1119",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917781119",
"telephone_number": "626-285-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 E LAS TUNAS DR",
"address_2": "SUITE 6",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761411",
"telephone_number": "626-285-2858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "LAN",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC5733",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AC5733",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.