# EVERGREEN ACUPUNCTURE & WELLNESS CLINIC

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

## Provider details

- **NPI number:** 1295372530
- **Authorized official:** PETER CHOI (CEO)
- **Authorized official phone:** (562) 524-2091

## Contact information

- **Practice address:** 422 W LA HABRA BLVD, LA HABRA, CA 90631-5408
- **Practice address phone:** (562) 524-2091
- **Mailing address:** 422 W LA HABRA BLVD, LA HABRA, CA 90631-5408

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2019
- **Last updated:** 12/05/2019