Taka Acupuncture Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC5697 Issued in CA

Legal business name

TAKA ACUPUNCTURE CLINIC

Practice address

14161 Newport Ave
#C
Tustin, CA 92780-5161

Phone

(714) 505-7976

Fax

(714) 505-2958

NPI assigned

May 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Karen Chang I, LAC

Title

Owner

Phone

(714) 505-7976

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730390972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14161 NEWPORT AVE",
            "address_2": "#C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927805161",
            "telephone_number": "714-505-7976",
            "fax_number": "714-505-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14161 NEWPORT AVE",
            "address_2": "#C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927805161",
            "telephone_number": "714-505-7976",
            "fax_number": "714-505-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKA ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-505-7976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Tustin, CA
• Providers in Tustin, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.