# BODYWISE ACUPUNCTURE & TOTAL WELLNESS

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

## Provider details

- **NPI number:** 1083042311
- **Authorized official:** MS. GEORGIA GOOD L.AC., DIPL. OM (PRESIDENT)
- **Authorized official phone:** (619) 210-5153

## Contact information

- **Practice address:** 885 CANARIOS CT, STE. 110, CHULA VISTA, CA 91910-7877
- **Practice address phone:** (619) 656-5102
- **Practice address fax:** (619) 656-5143
- **Mailing address:** 885 CANARIOS CT, STE. 110, CHULA VISTA, CA 91910-7877
- **Mailing address phone:** (619) 656-5102
- **Mailing address fax:** (619) 656-5143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | AC15584 | CA | Yes |

## Other

- **Enumeration date:** 10/23/2013
- **Last updated:** 11/01/2013