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Active NPI 1598171704 Individual Practitioner Male Practitioner

Koji Otsuka , MSOM, LAC

Acupuncturist • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Koji Otsuka, MSOM, LAC is a registered healthcare professional specializing in Acupuncturist in Boulder, CO. Practice services are available at 3407 STANFORD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3407 Stanford Ave

Boulder, CO 803055350

Telephone 3039498759

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
176 Specialists

Practicing in Boulder, CO (1204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License CO ACU.0001979

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2014

Registered at 3407 STANFORD AVE, BOULDER, CO 803055350 (Tel: 3039498759)

📍
Updated Business Mailing Address July 08, 2014

Registered at 3407 STANFORD AVE, BOULDER, CO 803055350

👤
Provider Name / Credentials Updated July 08, 2014

Recorded as KOJI OTSUKA, MSOM, L.AC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2014

Acupuncturist (License #ACU.0001979 in CO)

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Initial NPI Registration & Enumeration July 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598171704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2014
Last Update: July 08, 2014
Sole Proprietor: Yes

Mailing Address

3407 Stanford Ave

Boulder, CO 803055350

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.