# EVERGREEN WELLNESS CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023295276
- **Authorized official:** JOAN KIM-WAGNER ACUPUNCTURIST (PRESIDENT)
- **Authorized official phone:** (323) 665-1985

## Contact information

- **Practice address:** 2950 LOS FELIZ BLVD, 203, LOS ANGELES, CA 90039-1532
- **Practice address phone:** (323) 665-1985
- **Mailing address:** 2950 LOS FELIZ BLVD, 203, LOS ANGELES, CA 90039-1532
- **Mailing address phone:** (323) 665-1985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | AC9278 | CA | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 11/01/2016