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

Mr. Irwan Widjaja, LAC

Individual provider Acupuncturist · NPI 1962720110

Mr. Irwan Widjaja, LAC is an Acupuncturist in Monterey Park, 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

1481 W Longhill Dr
Monterey Park, CA 91754-4518
Phone: (626) 888-9119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 13474 (CA)

Record details

NPI number1962720110
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedMay 12, 2010
Last updated in NPPESMay 26, 2013

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