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

Michael David Mark, LAC, DIPLOM

Individual provider Acupuncturist · NPI 1508310244

Michael David Mark, LAC, DIPLOM is an Acupuncturist in Fontana, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
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

13677 Foothill Blvd Ste P
Fontana, CA 92335-0214
Phone: (909) 766-5397
Fax: (909) 697-2274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 17044 (CA)

Record details

NPI number1508310244
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC , DIPLOM
Sole proprietorNo
NPI enumeratedAugust 11, 2016
Last updated in NPPESAugust 11, 2016
Mailing address20687 Amar Road Ste 2 Box 240, Walnut, CA 91789

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