MR. IRWAN WIDJAJA L.AC
NPI 1962720110
Acupuncturist in Monterey Park, CA

Active since May 12, 2010
1481 W LONGHILL DR, MONTEREY PARK, CA 91754(626) 888-9119 Get Directions Write a Review

NPPES record last updated: May 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Irwan Widjaja L.ac NPPES

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

MR. IRWAN WIDJAJA L.AC (NPI 1962720110) is an individual acupuncturist in Monterey Park, California, licensed in California (13474) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1962720110
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameMR. IRWAN WIDJAJACredential: L.AC
Location Address1481 W LONGHILL DRMonterey Park, CA 91754-4518
Mailing Address1481 W Longhill DrMonterey Park, CA 91754-4518 · (626) 888-9119
Sole ProprietorYes
Enumeration DateMay 12, 2010
Last NPPES UpdateMay 26, 2013
NPI 1962720110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in CA · 13474
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
1481 W LONGHILL DR, Monterey Park, CA 91754

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 Irwan Widjaja's NPI number?

The NPI number for Irwan Widjaja is 1962720110. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Irwan Widjaja located?

Irwan Widjaja practices at 1481 W Longhill Dr, Monterey Park, CA 91754. The listed phone number is (626) 888-9119.

What is Irwan Widjaja's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Irwan Widjaja was last updated on May 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.