Healthcare Provider Details

I. General information

NPI: 1174468573
Provider Name (Legal Business Name): RADIANT ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17897 MACARTHUR BLVD
IRVINE CA
92614-0533
US

IV. Provider business mailing address

17897 MACARTHUR BLVD
IRVINE CA
92614-0533
US

V. Phone/Fax

Practice location:
  • Phone: 949-310-9550
  • Fax: 949-868-7174
Mailing address:
  • Phone: 949-310-9550
  • Fax: 949-868-7174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: AH CHU
Title or Position: PRACTITIONER
Credential: L. AC.
Phone: 949-310-9550