Organization
AGE WELL MED SPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNGSOOK LEE LAC (CFO)
(213) 505-1724
Entity
Organization
Contact information
Practice address
26732 CROWN VALLEY PKWY STE 572, MISSION VIEJO, CA 92691-7305
(213) 505-1724
Mailing address
26732 CROWN VALLEY PKWY STE 572, MISSION VIEJO, CA 92691-7305
(949) 503-2502
(877) 880-7861
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
06/04/2026
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