# GLOW PACIFIC WELLNESS, INC

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

## Provider details

- **NPI number:** 1124511662
- **Authorized official:** JUN WOO KIM (CEO)
- **Authorized official phone:** (213) 500-5578

## Contact information

- **Practice address:** 15375 BARRANCA PKWY STE I105, IRVINE, CA 92618-2210
- **Practice address phone:** (949) 537-9265
- **Mailing address:** 15375 BARRANCA PKWY STE I105, IRVINE, CA 92618-2210
- **Mailing address phone:** (949) 537-9265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC16949 | CA | Yes |

## Other

- **Enumeration date:** 06/10/2018
- **Last updated:** 06/10/2018
