Provider Demographics
NPI:1245726025
Name:WELL BEING LIFE ACUPUNCTURE CLINIC, INC
Entity type:Organization
Organization Name:WELL BEING LIFE ACUPUNCTURE CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUN
Authorized Official - Middle Name:K
Authorized Official - Last Name:KHIL
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:714-325-1859
Mailing Address - Street 1:1700 HAMNER AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-2963
Mailing Address - Country:US
Mailing Address - Phone:714-325-1859
Mailing Address - Fax:
Practice Address - Street 1:1700 HAMNER AVE STE 209
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-2963
Practice Address - Country:US
Practice Address - Phone:714-325-1859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11642171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty