Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jutara Srivali Teal, LAC

Individual provider General Practice Physician · NPI 1962719146

Jutara Srivali Teal, LAC is a General Practice Physician in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

3815 Atlantic Ave #5
Long Beach, CA 90807-3500
Phone: (562) 896-3685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence AC13184 (CA)

Record details

NPI number1962719146
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedSeptember 9, 2010
Last updated in NPPESSeptember 12, 2010

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