Age Well Med Spa Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

AGE WELL MED SPA INC

Practice address

26732 Crown Valley Pkwy Ste 572
Mission Viejo, CA 92691-7305

Phone

(213) 505-1724

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Youngsook Lee, LACNPI 1053042788

Title

Cfo

Phone

(213) 505-1724

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Youngsook Lee, ACUPUNCTURIST

  • Acupuncturist
  • Fullerton, CA
  • NPI 1053042788
  NPD Authorized official

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1285317420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 572",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917305",
            "telephone_number": "949-503-2502",
            "fax_number": "877-880-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 572",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917305",
            "telephone_number": "213-505-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE WELL MED SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOUNGSOOK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "213-505-1724",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Healthcare Services - DME LLC (Mission Medical Pharmacy)
• Aryan Humayra Afshar
• Afshin a. Mashoof, M.D., Inc.
• Afshin Gerayli MD a Professional Corporation
• Mahshid Agahi, AGNP
• David M Agosto
• Vanessa Aguilar
• Ahcs Behavior Health & Chronic Clinical Care LLC
• Ahcs Specialty Care LLC (AHCS Specialty Care)
• Cathy Young Ahia, MA, LMFT

• Acupuncturist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.