Michael Van Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC9368 Issued in CA

Legal business name

MICHAEL VAN INC.

Doing business as

OM Acupuncture Medical Clinic

Practice address

10174 Indiana Ave
Riverside, CA 92503-5304

Phone

(951) 343-2848

Fax

(951) 343-2969

NPI assigned

Dec 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

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.NPI 1023494259

Title

Ceo

Phone

(951) 343-2848

Specialties & licenses 2

Addresses

Other names 1

• OM Acupuncture Medical Clinic Doing business as

Locations

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.

• Michael Van, L.AC

  • Acupuncturist
  • Riverside, CA
  • NPI 1023494259
  Authorized official Same address or phone

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 (Riverside Modern Dentistry)
• Michael F Bishara MD Inc
• Michael J del Rio MD Inc
• Michael Robert Schroeder (Respiratory Medical Services)
• Michael Vincent Laureola DDS Inc (Magicland Dental Group of Moreno Valley)
• 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.