Ebenezer Wellness Center, Inc.

NPI #1114339272 in Irvine, California

Provider Information

NPI Number: 1114339272
Entity Type: Organization
Organization Name: Ebenezer Wellness Center, Inc.
Primary Specialty: General Practice
Enumeration Date: May 23, 2014
Last Updated: May 23, 2014

Practice Location

Address: 16261 LAGUNA CANYON RD
Address 2: SUITE 100
City: Irvine
State: California
ZIP Code: 92618-3608
Phone: (714) 636-3886

Authorized Official

Name: JUNGHEE KIM, L.AC
Title: VICE PRESIDENT
Phone: (714) 618-3942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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