EBENEZER WELLNESS CENTER INC. NPI 1114339272

NPI Information

EBENEZER WELLNESS CENTER, INC. is a general practice in Irvine, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee EBENEZER WELLNESS CENTER, INC. NPI is 1114339272. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16261 LAGUNA CANYON RD
SUITE 100
IRVINE, CA
ZIP 92618-608
Phone: (714) 636-3886

The provider's authorized official is Junghee Kim .
The authorized official title is Vice President and has the following contact phone number (714) 618-3942.

The enumeration date for this NPI number is 5/23/2014 and was last updated on 5/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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