Healthcare Provider Details
I. General information
NPI: 1922171719
Provider Name (Legal Business Name): ORANGE ACU-CHIRO CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9681 GARDEN GROVE BL. SUITE 101-103
GARDEN GROVE CA
92844
US
IV. Provider business mailing address
9681 GARDEN GROVE BL. SUITE 101-103
GARDEN GROVE CA
92844
US
V. Phone/Fax
- Phone: 714-530-7001
- Fax: 714-530-7261
- Phone: 714-530-7001
- Fax: 714-530-7261
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NX0800X |
| Taxonomy | Orthopedic Chiropractor |
| License Number | DC22627 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC1487 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
SHARON
SUNGHEE
BAEK
Title or Position: OWNER
Credential: D.C.
Phone: 714-530-7001