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General NPI Number Information
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NPI Number | 1275405565
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Entity Type | Organization
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Legal Business Name | OC SPORTS THERAPY, WELLNESS, & ACUPUNCTURE INC.
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 3151 AIRWAY AVE STE K103
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City | COSTA MESA
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State | CA
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Zip | 92626-4613
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Country | US
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Telephone | 714-540-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 3151 AIRWAY AVE STE K103
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City | COSTA MESA
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State | CA
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Zip | 92626-4613
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Country | US
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Telephone | 714-540-1710
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR, ACUPUNCTURIST
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Name | DR. CHRIS WEN-HAO MAA
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Credential | DC, L.AC
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Telephone | 714-334-8659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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