Provider Demographics
NPI:1457688558
Name:POINT OF WELLNESS
Entity Type:Organization
Organization Name:POINT OF WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MIYASHIRO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:858-740-1838
Mailing Address - Street 1:3566 MERRIMAC AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-1716
Mailing Address - Country:US
Mailing Address - Phone:858-581-6110
Mailing Address - Fax:
Practice Address - Street 1:4180 RUFFIN RD
Practice Address - Street 2:STE. 165
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1865
Practice Address - Country:US
Practice Address - Phone:858-740-1838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty