Provider Demographics
NPI:1275921454
Name:THE WELLNESS ACUPUNCTURE GROUP OF AMERICA
Entity Type:Organization
Organization Name:THE WELLNESS ACUPUNCTURE GROUP OF AMERICA
Other - Org Name:THE WELLNESS GROUP OF AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:UCHENNA
Authorized Official - Middle Name:ABBA
Authorized Official - Last Name:ONYEANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-967-2540
Mailing Address - Street 1:1425 W ARTESIA BLVD
Mailing Address - Street 2:SUITE 21-22
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90248-3231
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1425 W ARTESIA BLVD
Practice Address - Street 2:SUITE 21-22
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-3231
Practice Address - Country:US
Practice Address - Phone:908-967-2540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00678700261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty