Living Well Health Center, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60503717 Issued in WA

Legal business name

LIVING WELL HEALTH CENTER, LLC

Practice address

14090 Fryelands Blvd SE Ste 174
Monroe, WA 98272-2693

Phone

(206) 261-8353

NPI assigned

Oct 23, 2015

Organization subpart

No

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

Authorized official

Name

Rozalyn Khabibulin, LAC

Title

Acupuncturist

Phone

(206) 261-8353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1154793644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14090 FRYELANDS BLVD SE STE 174",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722693",
            "telephone_number": "206-261-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 FRYELANDS BLVD SE STE 174",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722693",
            "telephone_number": "206-261-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "KHABIBULIN",
        "authorized_official_first_name": "ROZALYN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "206-261-8353",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60503717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Lidstrom
• Phami Lieu, RDH
• Rachel Amanda Lim, MD
• Kenneth C Lin, M.D.
• Linda Backenstose PS Inc
• Living Well Pain Clinics PLLC
• Amanda Loesche, PHARMD
• Chelsea Rose Lokey, LMP
• Melanie L Long, CPCC
• Cristina Louk, PHD

• Acupuncturist in Monroe, WA
• Providers in Monroe, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.