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CLARK WANG CHIROPRACTIC INC.
NPI 1063123594
Chiropractor in Laguna Hills, CA

Active since December 06, 2022
24953 PASEO DE VALENCIA STE 6A, LAGUNA HILLS, CA 92653(949) 643-5030(949) 643-5209 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clark Wang Chiropractic Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARK WANG CHIROPRACTIC INC. (NPI 1063123594) is a healthcare organization registered as a chiropractor in Laguna Hills, California and active in the NPI registry since December 2022. The organization lists Ryan P Clark, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1063123594
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCLARK WANG CHIROPRACTIC INC.
Location Address24953 PASEO DE VALENCIA STE 6ALaguna Hills, CA 92653-4342
Mailing Address24953 Paseo De Valencia Ste 6aLaguna Hills, CA 92653-4342 · (949) 643-5030 · Fax (949) 643-5209
Phone(949) 643-5030
Fax(949) 643-5209
Organization SubpartNo
Authorized OfficialRyan P ClarkChiropractor · (949) 643-5030
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1063123594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
24953 PASEO DE VALENCIA STE 6A, Laguna Hills, CA 92653
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clark Wang Chiropractic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Clark Wang Chiropractic Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ryan Clark, D.C.
Chiropractic
NPI 1174808588
24953 PASEO DE VALENCIA STE 6A
Laguna Hills, CA 92653
(949) 643-5030
✔ Accepts MedicareSame address
Kathy Wang, D.C.
Chiropractic
NPI 1730478793
24953 PASEO DE VALENCIA STE 6A
Laguna Hills, CA 92653
(949) 643-5030
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Wang Chiropractic Inc.'s NPI number?

The NPI number for Clark Wang Chiropractic Inc. is 1063123594. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Clark Wang Chiropractic Inc. located?

Clark Wang Chiropractic Inc. is located at 24953 Paseo De Valencia Ste 6A, Laguna Hills, CA 92653. The listed phone number is (949) 643-5030.

What is Clark Wang Chiropractic Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Clark Wang Chiropractic Inc. enrolled in Medicare?

Yes. Clark Wang Chiropractic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clark Wang Chiropractic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Clark Wang Chiropractic Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clark Wang Chiropractic Inc. was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.