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Sung W Tae, AC

Acupuncturist in Anaheim, CA. Individual provider (NPI-1).

NPI number1982853404
StatusActive
Last updated in NPPESApr 12, 2026

Details

NPI
1982853404
Entity type
Individual (NPI-1)
Name
Sung W Tae
Credential
AC
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 9, 2008
Certification date
Apr 12, 2026
Last updated
Apr 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X AcupuncturistAC5682CAYes

Practice location

1811 W Katella Ave Ste 130
Anaheim, CA 92804-6658

Phone 714-774-7720

Mailing address

1811 W Katella Ave Ste 130
Anaheim, CA 92804-6658

Phone 714-774-7720

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