Active NPI
Fun Lac
- Acupuncturist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC13570
- Legal business name
- FUN LAC
- Practice address
- 9337 Vervain St
San Diego, CA 92129-3571 - Phone
- (626) 271-6671
- NPI assigned
- Oct 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shenfang Sharon Chang
- Title
- Ceo
- Phone
- (626) 271-6671
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC13570 | CA | Primary |
Addresses
Primary practice location
9337 Vervain St
San Diego, CA 92129-3571
Mailing address
9337 Vervain St
San Diego, CA 92129-3571
National Provider Directory
National Provider Directory- Tax ID family
- Fun Lac
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Acupuncturist
- Diamond Bar, CA
- NPI 1003132010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318809600000",
"number": "1538444971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9337 VERVAIN ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921293571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9337 VERVAIN ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921293571",
"telephone_number": "626-271-6671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUN LAC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "SHENFANG",
"authorized_official_middle_name": "SHARON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-271-6671"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC13570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- David Fulton Jr.
- Emily Jayne Fulton
- Jacob Fulton, SFIDC
- Juana Fulton, LCSW
- Priscilla Fultz
- Function Fit Rehab
- Function Fit Rehabilitation
- Function Foundation, Inc. (Rehab United Sports Medicine & Physical Therapy, Inc)
- Function in Movement Physical Therapy
- Functional Athletics LLC (Egoscue of San Diego)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.