Provider Demographics
NPI:1619749231
Name:M WELLNESS
Entity Type:Organization
Organization Name:M WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:HYO
Authorized Official - Middle Name:SHIK
Authorized Official - Last Name:CHOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-832-1833
Mailing Address - Street 1:7017 DOLPHIN RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3908
Mailing Address - Country:US
Mailing Address - Phone:703-832-1833
Mailing Address - Fax:
Practice Address - Street 1:10 POST OFFICE RD STE 100
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1103
Practice Address - Country:US
Practice Address - Phone:703-832-1833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty