Organization Active NPI

123 Clinic and Acupuncture

  • Family Medicine Physician
  • Walnut, CA
National Provider Identifier
1770979619
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
123 CLINIC AND ACUPUNCTURE
Practice address
18800 Amar Rd
Suite A8
Walnut, CA 91789-4166
Phone
(626) 593-1233
Fax
(626) 608-0318
NPI assigned
Apr 7, 2015
Last updated
Mar 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Dr. Allan C Chang, LAC, DAOM
Title
Owner
Phone
(626) 593-1233

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X CA Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X CA

Addresses

Primary practice location

18800 Amar Rd
Suite A8
Walnut, CA 91789-4166

Mailing address

18800 Amar Rd
Suite A8
Walnut, CA 91789-4166
Phone (626) 593-1233

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1770979619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 AMAR RD",
            "address_2": "SUITE A8",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894166",
            "telephone_number": "626-593-1233",
            "fax_number": "626-608-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 AMAR RD",
            "address_2": "SUITE A8",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894166",
            "telephone_number": "626-593-1233",
            "fax_number": "626-608-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "123 CLINIC AND ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-593-1233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC, DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.