MEDICARE: MR. MICHAEL ADAMS LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP3300X	Pain Clinic/Center	18916	CA
2	171100000X	Acupuncturist	18916	CA

General Provider Information

NPI Number	:	1548867591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL ADAMS LAC

Provider Business Mailing Address
First Line	:	300 LONG BEACH BLVD UNIT 689
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90801-7029
Country	:	US
Telephone Number	:	949-302-0744
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 WESTMINSTER AVE STE 10
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-4238
Country	:	US
Telephone Number	:	949-302-0744
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2020
Last Update Date	:	08/18/2025

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