Provider Demographics
NPI:1922171719
Name:ORANGE ACU-CHIRO CENTER
Entity Type:Organization
Organization Name:ORANGE ACU-CHIRO CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:SUNGHEE
Authorized Official - Last Name:BAEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-530-7001
Mailing Address - Street 1:9681 GARDEN GROVE BL.
Mailing Address - Street 2:SUITE 101-103
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844
Mailing Address - Country:US
Mailing Address - Phone:714-530-7001
Mailing Address - Fax:714-530-7261
Practice Address - Street 1:9681 GARDEN GROVE BL.
Practice Address - Street 2:SUITE 101-103
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844
Practice Address - Country:US
Practice Address - Phone:714-530-7001
Practice Address - Fax:714-530-7261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22627111NX0800X
CAAC1487171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
Not Answered171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC1487OtherACUPUNCTURE
CADC22627OtherCHIROPRACTOR