Provider Demographics
NPI:1265099915
Name:ACU WELLNESS LLC
Entity type:Organization
Organization Name:ACU WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER/ ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:EUNJI
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC MAOM
Authorized Official - Phone:209-330-7123
Mailing Address - Street 1:3810 PACIFIC COAST HWY STE 106
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5942
Mailing Address - Country:US
Mailing Address - Phone:209-330-7123
Mailing Address - Fax:209-330-7124
Practice Address - Street 1:3810 PACIFIC COAST HWY STE 106
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5942
Practice Address - Country:US
Practice Address - Phone:209-330-7123
Practice Address - Fax:209-330-7124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty