Michael Van Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC9368 Issued in CA

Legal business name

MICHAEL VAN INC.

Practice address

10174 Indiana Ave
Riverside, CA 92503-5304

Phone

(951) 343-2848

Fax

(951) 343-2969

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Van, L. AC., PH. D.

Title

Ceo

Phone

(951) 343-2848

Specialties & licenses 2

Addresses

Other names 1

• OM Acupuncture Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740343185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10174 INDIANA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10174 INDIANA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035304",
            "telephone_number": "951-343-2848",
            "fax_number": "951-343-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL VAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-343-2848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L. AC., PH. D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9368",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OM Acupuncture Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derek Miao, PHARM.D.
• Michael Cho Dental Corporation
• Michael F Bishara MD Inc
• Michael J del Rio MD Inc
• Michael Robert Schroeder
• Michael Vincent Laureola DDS Inc
• Helina Michael, PA
• Emma Michalak
• Elizabeth Michel-Arredondo
• Claudia Michel

• Acupuncturist in Riverside, CA
• Providers in Riverside, 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.