Provider Demographics
NPI:1003560806
Name:KARIS ACUPUNCTURE CLINIC INC
Entity type:Organization
Organization Name:KARIS ACUPUNCTURE CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:949-701-1237
Mailing Address - Street 1:28426 KLONDIKE DR
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-1165
Mailing Address - Country:US
Mailing Address - Phone:949-701-1237
Mailing Address - Fax:949-377-3712
Practice Address - Street 1:25201 LA PAZ RD STE 202
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5118
Practice Address - Country:US
Practice Address - Phone:949-237-2103
Practice Address - Fax:949-377-3712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty