Organization
EBENEZER WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNGHEE KIM L.AC (VICE PRESIDENT)
(714) 618-3942
Entity
Organization
Contact information
Practice address
16261 LAGUNA CANYON RD, SUITE 100, IRVINE, CA 92618-3608
(714) 636-3886
Mailing address
16261 LAGUNA CANYON RD, SUITE 100, IRVINE, CA 92618-3608
(714) 636-3886
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A86714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A86714
CA MEDICAL BOARD
CA
Enumeration date
05/23/2014
Last updated
05/23/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us