Healthcare Provider Details

I. General information

NPI: 1497751473
Provider Name (Legal Business Name): MICHAEL CHUN WANG D.C., L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 HAMNER AVE SUITE E
NORCO CA
92860-3136
US

IV. Provider business mailing address

16809 RUFF DR
HACIENDA HEIGHTS CA
91745-5630
US

V. Phone/Fax

Practice location:
  • Phone: 951-808-8320
  • Fax: 951-808-8313
Mailing address:
  • Phone: 626-961-6889
  • Fax: 626-968-6629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC26509
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC9069
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: