Wellness Acupuncture Clinic

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

AC15436 Issued in CA

Legal business name

WELLNESS ACUPUNCTURE CLINIC

Practice address

1866 E Main St
Barstow, CA 92311

Phone

(213) 905-0566

NPI assigned

Jan 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jae Hui Lee, OMD. LAC

Title

Owner

Phone

(213) 905-0566

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1124485289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "92311",
            "telephone_number": "213-905-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "92311",
            "telephone_number": "213-905-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "HUI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-905-0566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OMD. LAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "AC15436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mima Waters
• Alyshia Watkins
• Wendy Michelle Watkins
• Weed Army Community Hospital
• Weed Army Community Hospital
• Kimberlee June Diane Welsh
• Chandra Gale White
• Nicole Ann White, PPSP
• Tiffany Marie White, RN
• Jauzlyn Whitt

• Case Management Agency in Barstow, CA
• Providers in Barstow, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.