Organization Active NPI

Mylife Acucenter, Inc.

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1790483873
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MYLIFE ACUCENTER, INC.
Practice address
16486 Bernardo Center Dr Ste 100
San Diego, CA 92128-2519
Phone
(626) 765-5678
Fax
(888) 691-2206
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Guang Di Chang, L.AC.NPI 1477705705
Title
Physician
Phone
(909) 979-4568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

16486 Bernardo Center Dr Ste 100
San Diego, CA 92128-2519

Mailing address

11422 Autumn Sage Ave
Jurupa Valley, CA 91752-5035
Phone (909) 979-4568

Other practice location 1

6727 Flanders Dr Ste 107
San Diego, CA 92121-2926
Phone (626) 765-5678

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1790483873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11422 AUTUMN SAGE AVE",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917525035",
            "telephone_number": "909-979-4568",
            "fax_number": "888-691-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16486 BERNARDO CENTER DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282519",
            "telephone_number": "626-765-5678",
            "fax_number": "888-691-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6727 Flanders Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921212926",
            "country_code": "US",
            "telephone_number": "626-765-5678",
            "fax_number": "888-691-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYLIFE ACUCENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "GUANG DI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "909-979-4568",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.