# FLOURISHING MIND BODY WELLNESS CENTER, A COLLABORATIVE ACUPUNCTURE PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1063870822
- **Authorized official:** KERI UEJO MARCHAND L.AC., DIPL. O.M. (CEO/PRESIDENT)
- **Authorized official phone:** (310) 401-4065

## Contact information

- **Practice address:** 1554 S SEPULVEDA BLVD STE 209, LOS ANGELES, CA 90025-3359
- **Practice address phone:** (310) 401-4065
- **Mailing address:** 1112 MONTANA AVE STE 528, SANTA MONICA, CA 90403-7326
- **Mailing address phone:** (310) 401-4065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 16926 | CA | Yes |

## Other

- **Enumeration date:** 02/08/2016
- **Last updated:** 02/26/2019