Provider Demographics
NPI:1518440668
Name:HANA HOLISTIC WELLNESS - ACUPUNCTURE & HERBS
Entity Type:Organization
Organization Name:HANA HOLISTIC WELLNESS - ACUPUNCTURE & HERBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SEUNGAI
Authorized Official - Middle Name:
Authorized Official - Last Name:SON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-247-8440
Mailing Address - Street 1:680 WILSHIRE PL STE 316
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-3950
Mailing Address - Country:US
Mailing Address - Phone:213-247-8440
Mailing Address - Fax:
Practice Address - Street 1:680 WILSHIRE PL STE 316
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-3950
Practice Address - Country:US
Practice Address - Phone:213-247-8440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization