# WUXIA INTEGRATIVE MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wuxia Acupuncture Medicine, Wuxia Integrative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164900965
- **Authorized official:** JEANNIE WONG L.AC (PRESIDENT)
- **Authorized official phone:** (626) 639-3887

## Contact information

- **Practice address:** 2595 E WASHINGTON BLVD STE 108, PASADENA, CA 91107-1409
- **Practice address phone:** (626) 639-3887
- **Practice address fax:** (626) 688-5889
- **Mailing address:** 1550 MIRASOL DR, SAN MARINO, CA 91108-2737
- **Mailing address phone:** (323) 639-3372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | AC17768 | CA | Yes |

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 05/01/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1831690783 | NPI INDIVIDUAL JEANNIE WONG | — |