Provider Demographics
NPI:1932567823
Name:SW HEALTHMANAGEMENT INC.
Entity Type:Organization
Organization Name:SW HEALTHMANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUNG WON
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-219-1758
Mailing Address - Street 1:5590 ELSINORE AVE
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-1356
Mailing Address - Country:US
Mailing Address - Phone:213-219-1758
Mailing Address - Fax:
Practice Address - Street 1:421 N BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5637
Practice Address - Country:US
Practice Address - Phone:657-201-9444
Practice Address - Fax:747-300-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111N00000X
CAAC12401171100000X
CAAC15218171100000X
CAAC16220171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC12401OtherACUPUNCTURE