Ebenezer Wellness Center, Inc.

LBN: Ebenezer Wellness Center, Inc.
Ebenezer Wellness Center, Inc. is an health care organization with primary practice located at 16261 Laguna Canyon Rd Suite 100, Irvine CA 92618-3608. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Ebenezer Wellness Center, Inc. can be contacted via phone (714) 636-3886, or through Kim, Junghee via phone (714) 618-3942.

Contact Information

Primary practice address
16261 Laguna Canyon Rd Suite 100 Irvine CA 92618-3608
Phone: (714) 636-3886
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Junghee Licensed Acupuncturist (LAC)
Phone: (714) 618-3942

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A86714 California

Profile Details

NPI number 1114339272
LBN Legal business name Ebenezer Wellness Center, Inc.
DBA Doing business as
Authorized official Kim, Junghee Licensed Acupuncturist (LAC)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2014
Last updated May 23rd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114339272 NPPES
California Other A86714 CA MEDICAL BOARD

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