Organization
BONAFIDE WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAINEN SHIN L.AC. (CEO)
(949) 246-0811
Entity
Organization
Contact information
Practice address
6330 SAN VICENTE BLVD STE 245, LOS ANGELES, CA 90048-5425
(424) 600-5010
Mailing address
6330 SAN VICENTE BLVD STE 245, LOS ANGELES, CA 90048-5425
(424) 600-5010
(213) 814-5728
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
03/12/2026
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