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EBENEZER WELLNESS CENTER, INC.
NPI 1114339272
General Practice in Irvine, CA

Active since May 23, 2014
16261 LAGUNA CANYON RD, SUITE 100, IRVINE, CA 92618(714) 636-3886 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ebenezer Wellness Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBENEZER WELLNESS CENTER, INC. (NPI 1114339272) is a healthcare organization registered as a general practice in Irvine, California and active in the NPI registry since May 2014. The organization lists Junghee Kim, Vice President, as its authorized official.

NPPES Registry Identity

NPI1114339272
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEBENEZER WELLNESS CENTER, INC.
Location Address16261 LAGUNA CANYON RD, SUITE 100Irvine, CA 92618-3608
Mailing Address16261 Laguna Canyon Rd, Suite 100Irvine, CA 92618-3608 · (714) 636-3886
Phone(714) 636-3886
Organization SubpartNo
Authorized OfficialJunghee KimVice President · (714) 618-3942
Enumeration DateMay 23, 2014
✔ NPI 1114339272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A86714
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
16261 LAGUNA CANYON RD, Irvine, CA 92618
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Other Identifiers 1

OtherA86714CA · Ca Medical Board

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebenezer Wellness Center, Inc.'s NPI number?

The NPI number for Ebenezer Wellness Center, Inc. is 1114339272. It was assigned to this organization in the NPPES registry on May 23, 2014.

Where is Ebenezer Wellness Center, Inc. located?

Ebenezer Wellness Center, Inc. is located at 16261 Laguna Canyon Rd Suite 100, Irvine, CA 92618. The listed phone number is (714) 636-3886.

What is Ebenezer Wellness Center, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ebenezer Wellness Center, Inc. was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.