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FOUR SEASONS ACUPUNCTURE & WELLNESS
NPI 1407357072
Clinic/Center - Pain in Fairfax, VA

Active since February 28, 2018
11130 FAIRFAX BLVD STE 204, FAIRFAX, VA 22030(703) 717-8573(703) 563-9383 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Pain

About FOUR SEASONS ACUPUNCTURE & WELLNESS

This page provides the complete NPI Profile along with additional information for Four Seasons Acupuncture & Wellness, a provider established in Fairfax, Virginia operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1407357072 assigned on February 2018. The practitioner's primary taxonomy code is 261QP3300X with license number 0121000772 (VA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Wonsik Um Lac (President)

NPI
1407357072 Verify this NPI
Provider Name
FOUR SEASONS ACUPUNCTURE & WELLNESS
Entity Type
Organization
Location Address
11130 FAIRFAX BLVD STE 204 FAIRFAX, VA 22030
Location Phone
(703) 717-8573
Location Fax
(703) 563-9383
Mailing Address
11130 FAIRFAX BLVD STE 204 FAIRFAX, VA 22030
Mailing Phone
(703) 717-8573
Mailing Fax
(703) 563-9383
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2018
Last Update Date
02-28-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Pain

Taxonomy Code
261QP3300X
Type
Ambulatory Health Care Facilities
License No.
0121000772
License State
VA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. WONSIK UM LAC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(703) 717-8573

Reviews for FOUR SEASONS ACUPUNCTURE & WELLNESS

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

WONSIK UM L.AC
Acupuncturist
11130 FAIRFAX BLVD STE 204
FAIRFAX, VA 22030
Fairfax City (703) 717-8573

Frequently Asked Questions

What is FOUR SEASONS ACUPUNCTURE & WELLNESS's NPI number?

The NPI number assigned to this healthcare provider is 1407357072, enumerated as an "organization" on February 28, 2018.

Where is the provider located?

The provider is located at 11130 FAIRFAX BLVD STE 204 FAIRFAX, VA 22030 and the phone number is (703) 717-8573.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.