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NPI Code Detail

MEDICARE: CLINIC NATURAE NATUROPATHIC PROFESSIONAL CORP.

MEDICARE: CLINIC NATURAE NATUROPATHIC PROFESSIONAL CORP.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath
2171100000XAcupuncturist

General Provider Information

NPI Number : 1760138812
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINIC NATURAE NATUROPATHIC PROFESSIONAL CORP.
Provider Business Mailing Address
First Line : 10701 WILSHIRE BLVD APT 1106
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-4437
Country : US
Telephone Number : 424-330-6683
Fax Number :
Provider Business Practice Location Address
First Line : 11661 SAN VICENTE BLVD STE 701
Second Line :
City : LOS ANGELES
State : CA
Zip : 90049-5115
Country : US
Telephone Number : 424-330-6683
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. KAI-YUN CHENG
Credential : ND, LAC
Telephone Number : 424-330-6683
Provider Enumeration Date : 02/28/2022
Last Update Date : 05/05/2026

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