Active NPI
Ruijun Wang
- Acupuncturist
- Lake Forest, CA
National Provider Identifier
1528611449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC18604
- Practice address
- 23222 Stella CT
Lake Forest, CA 92630-5336 - Phone
- (949) 394-6466
- NPI assigned
- Jul 19, 2019
- Sex
- Male
- 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 | AC18604 | CA | Primary |
Addresses
Primary practice location
23222 Stella CT
Lake Forest, CA 92630-5336
Mailing address
23222 Stella CT
Lake Forest, CA 92630-5336
Phone (949) 394-6466
Other practice location 1
23331 El Toro Rd Ste 107
Lake Forest, CA 92630-4809
Phone (949) 394-6466
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 |
|---|---|---|---|
| AC18604 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1528611449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23222 STELLA CT",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926305336",
"telephone_number": "949-394-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23222 STELLA CT",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926305336",
"telephone_number": "949-394-6466"
}
],
"practiceLocations": [
{
"address_1": "23331 El Toro Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "CA",
"postal_code": "926304809",
"country_code": "US",
"telephone_number": "949-394-6466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "RUIJUN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC18604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.