# EAST WELLNESS INC

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

## Provider details

- **NPI number:** 1093300469
- **Authorized official:** JAI SUNG HA LAC (PRESIDENT)
- **Authorized official phone:** (424) 206-1790

## Contact information

- **Practice address:** 1603 AVIATION BLVD STE B, REDONDO BEACH, CA 90278-2855
- **Practice address phone:** (424) 206-1790
- **Practice address fax:** (424) 452-6190
- **Mailing address:** 1603 AVIATION BLVD STE B, REDONDO BEACH, CA 90278-2855
- **Mailing address phone:** (424) 206-1790
- **Mailing address fax:** (424) 452-6190

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2021
- **Last updated:** 03/07/2021