MEDICARE: MR. CHANGTAE OH L.AC.

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	171100000X	Acupuncturist	AC17232	CA

General Provider Information

NPI Number	:	1790237824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHANGTAE OH L.AC.

Provider Business Mailing Address
First Line	:	20909 NORWALK BLVD APT 35
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90715-1559
Country	:	US
Telephone Number	:	657-222-5208
Fax Number	:

Provider Business Practice Location Address
First Line	:	20909 NORWALK BLVD APT 35
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90715-1559
Country	:	US
Telephone Number	:	657-222-5208
Fax Number	:

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

Provider Enumeration Date	:	10/24/2016
Last Update Date	:	10/24/2016

Similar Medicare Providers

1700745478 — ASHLEY MARIE BRENNAN BCABA
Practice Location Address:

503 HOPE CHAPEL RD
LAKEWOOD, NJ
08701-1559

Practice Phone: 732-353-1616
Practice Fax:

1356023998 — DR. CHELSEA LYN SOUSA PSY.D.
Practice Location Address:

12900 LAKE AVE APT 2002
LAKEWOOD, OH
44107-1559

Practice Phone: 808-375-8087
Practice Fax:

1245005545 — TOVA FLORANS
Practice Location Address:

503 HOPE CHAPEL RD
LAKEWOOD, NJ
08701-1559

Practice Phone: 732-605-6992
Practice Fax:

1982444527 — WONDIRFUL PLAY LLC
Practice Location Address:

503 HOPE CHAPEL RD
LAKEWOOD, NJ
08701-1559

Practice Phone: 646-859-9554
Practice Fax:

1730065459 — CARELINK ABA PC
Practice Location Address:

501 HOPE CHAPEL RD
LAKEWOOD, NJ
08701-1559

Practice Phone: 732-998-0415
Practice Fax:

1205830635 — HYGIEIA HOME HEALTH INC
Practice Location Address:

11401 CARSON ST STE N
LAKEWOOD, CA
90715-2546

Practice Phone: 562-865-4900
Practice Fax: 562-865-4945

Directions to “ MR. CHANGTAE OH L.AC.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.