Provider Demographics
NPI:1700380920
Name:METROPOLITAN WELLNESS CENTER
Entity Type:Organization
Organization Name:METROPOLITAN WELLNESS CENTER
Other - Org Name:SEOKUK ACUPUNCTURE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:HYEON
Authorized Official - Last Name:SEO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:213-986-7135
Mailing Address - Street 1:2310 S UNION AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-1843
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3321 W PICO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-4530
Practice Address - Country:US
Practice Address - Phone:213-986-7135
Practice Address - Fax:213-986-6139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty