Healthcare Provider Details

I. General information

NPI: 1003727678
Provider Name (Legal Business Name): ANGELA KUEHL L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA SOPHIA ROSE WONG L.AC.

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4768 PARK GRANADA STE 101
CALABASAS CA
91302-3312
US

IV. Provider business mailing address

6344 DE SOTO AVE # B207
WOODLAND HILLS CA
91367
US

V. Phone/Fax

Practice location:
  • Phone: 808-699-1005
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20724
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: