Active NPI
Chin Gang, L. AC
- Acupuncturist
- Tujunga, CA
National Provider Identifier
1982887360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11560
- Practice address
- 6237 Foothill Blvd
Tujunga, CA 91042-2723 - Phone
- (818) 541-1040
- Fax
- (818) 541-1040
- NPI assigned
- Dec 9, 2007
- Last updated
- Jan 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 11560 | CA | Primary |
Addresses
Primary practice location
6237 Foothill Blvd
Tujunga, CA 91042-2723
Mailing address
3220 Castera Ave
Glendale, CA 91208-1608
Phone (818) 640-2236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11560 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1982887360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 CASTERA AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081608",
"telephone_number": "818-640-2236",
"fax_number": "818-541-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6237 FOOTHILL BLVD",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910422723",
"telephone_number": "818-541-1040",
"fax_number": "818-541-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANG",
"first_name": "CHIN",
"credential": "L. AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-09",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tujunga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.