Organization
BONWELLNESS CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE SUNG BYUN (DIRECTOR)
(714) 520-1359
Entity
Organization
Contact information
Practice address
7212 ORANGETHORPE AVE, STE 6, BUENA PARK, CA 90621-3341
(714) 520-1359
(714) 509-1616
Mailing address
7212 ORANGETHORPE AVE, STE 6, BUENA PARK, CA 90621-3341
(714) 520-1359
(714) 509-1616
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC13811
CA
Other
Enumeration date
02/01/2016
Last updated
02/13/2016
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