Provider Demographics
NPI:1447817325
Name:WELL LIVING ACUPUNCTURE CENTER
Entity type:Organization
Organization Name:WELL LIVING ACUPUNCTURE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIANGHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHENG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:626-688-2526
Mailing Address - Street 1:5 COPPER HL
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-2612
Mailing Address - Country:US
Mailing Address - Phone:626-688-2526
Mailing Address - Fax:714-838-2626
Practice Address - Street 1:4790 IRVINE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-1958
Practice Address - Country:US
Practice Address - Phone:626-688-2526
Practice Address - Fax:714-838-2626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-25
Last Update Date:2019-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty