EBENEZER WELLNESS CENTER, INC. (NPI# 1114339272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114339272 |
| Entity Type | Organization |
| Organization Name | EBENEZER WELLNESS CENTER, INC. |
| Practice Address |
16261 Laguna Canyon Rd Suite 100 Irvine CA 92618-3608 |
| Practice Telephone | 7146363886 |
| Mailing Telephone | 7146363886 |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-05-23 |
| Authorized Official Name | JUNGHEE KIM (VICE PRESIDENT) |
| Authorized Official Telephone | 7146183942 |
| Authorized Official Credential | L.AC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A86714 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA MEDICAL BOARD | A86714 | 01 |
| Street Address |
16261 LAGUNA CANYON RD SUITE 100 |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487056651 | Jiwong Kim | Acupuncturist | 16261 Laguna Canyon Rd, Suite 100, Irvine, CA 92618-3608 | 2014-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194381830 | Alex Wah Hin Yeung | General Practice | 8093 Scholarship # 2, Irvine, CA 92612-5697 | 2019-05-17 |
| 1689912917 | Wenhong Hsu | General Practice | 10 Ponderosa, Irvine, CA 92604-3748 | 2013-01-21 |
| 1477855856 | Khashayar Sarabi, Md, A Medical Corp | General Practice | 2967 Michelson Dr, Ste G444, Irvine, CA 92612-0657 | 2010-11-17 |
| 1649435199 | Raihan U. Haque | General Practice | 16460 Bake Pkwy, Irvine, CA 92618-4665 | 2008-07-24 |
| 1780851808 | Maryellen O'reilly | General Practice | 60 Discovery, Irvine, CA 92618-3105 | 2008-05-08 |
| 1821288630 | Meagan Marie Marcuccilli | General Practice | 4870 Barranca Pkwy Ste 110, Irvine, CA 92604-4787 | 2007-07-27 |
| 1780600486 | Sarah Elizabeth Stanton | General Practice | 9 Spring Buck, Irvine, CA 92614-7431 | 2006-07-14 |
| 1871558627 | Ray J Lee | General Practice | 6650 Alton Pkwy, Irvine, CA 92618-3734 | 2006-04-17 |
| 1225404957 | Pain Management Center of Irvine, Inc. | General Practice | 4902 Irvine Center Dr Ste 102, Irvine, CA 92604-3334 | 2015-08-17 |
| 1194155945 | Time Unwind Medical Group, Inc. | General Practice | 16460 Bake Pkwy, Irvine, CA 92618-4665 | 2013-11-14 |
| Find all providers in IRVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.