# AGE WELL MED SPA INC

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

## Provider details

- **NPI number:** 1285317420
- **Authorized official:** YOUNGSOOK LEE LAC (CFO)
- **Authorized official phone:** (213) 505-1724

## Contact information

- **Practice address:** 26732 CROWN VALLEY PKWY STE 572, MISSION VIEJO, CA 92691-7305
- **Practice address phone:** (213) 505-1724
- **Mailing address:** 26732 CROWN VALLEY PKWY STE 572, MISSION VIEJO, CA 92691-7305
- **Mailing address phone:** (949) 503-2502
- **Mailing address fax:** (877) 880-7861

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2023
- **Last updated:** 06/04/2026