Wolfgang Labs Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

WOLFGANG LABS INC

Practice address

31877 Del Obispo St Ste 105
San Juan Capistrano, CA 92675-3209

Phone

(949) 228-2640

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Prof. Grant Collins, MSOMNPI 1245717735

Title

Owner

Phone

(949) 228-2640

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grant Collins, MSOM, LAC

  • Acupuncturist
  • San Juan Capistrano, CA
  • NPI 1245717735
  NPD (past) Authorized official

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1902455124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31151 NIGUEL RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774101",
            "telephone_number": "949-228-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31877 DEL OBISPO ST STE 105",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753209",
            "telephone_number": "949-228-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFGANG LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-228-2640",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MSOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Judith Wolder, MA, LMFT
• Dennis Sakaki Wong, M.D.
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• Samira Yaganeh
• Karen Lee Yamasaki, OTR
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• Acupuncturist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.