Provider Demographics
NPI:1003231168
Name:WELL MORE WELL
Entity Type:Organization
Organization Name:WELL MORE WELL
Other - Org Name:HEALING ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YOUNGMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JEUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-638-4079
Mailing Address - Street 1:7800 COMMONWEALTH AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-2496
Mailing Address - Country:US
Mailing Address - Phone:913-638-4079
Mailing Address - Fax:
Practice Address - Street 1:7800 COMMONWEALTH AVE STE 203
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-2496
Practice Address - Country:US
Practice Address - Phone:913-638-4079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 15423261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center