Organization · Type 2 NPI
Ebenezer Wellness Center, Inc.
General Practice Physician · Irvine, CA
NPI number
1114339272
Active
Practice location
16261 Laguna Canyon Rd, Suite 100
Irvine, CA 92618-3608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A86714 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1114339272
Ebenezer Wellness Center, Inc.'s National Provider Identifier is 1114339272, issued on May 23, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Irvine, CA. The record was last updated on May 23, 2014.