=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942113345
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CORE MERIDIAN ACUPUNCTURE, PROFESSIONAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/25/2026
-----------------------------------------------------
Last Update Date | 09/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 404 WESTMINSTER AVE STE 5
-----------------------------------------------------
City | NEWPORT BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92663-4237
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-889-2209
-----------------------------------------------------
Fax | 949-620-1444
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 404 WESTMINSTER AVE STE 5
-----------------------------------------------------
City | NEWPORT BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92663-4237
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-889-2209
-----------------------------------------------------
Fax | 949-620-1444
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. MICHAEL ADAMS
-----------------------------------------------------
Credential | DACM
-----------------------------------------------------
Telephone | 949-302-0744
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------