Organization Active NPI

Eden Acupuncture & Wellness Inc

  • Acupuncturist
  • Tustin, CA
National Provider Identifier
1487560058
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
EDEN ACUPUNCTURE & WELLNESS INC
Practice address
17501 Irvine Blvd Ste 103
Tustin, CA 92780-3147
Phone
(714) 932-8512
Fax
(949) 390-9902
NPI assigned
Aug 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Mr. Seok Lee, ACUPUNCTURISTNPI 1477898294
Title
Ceo/Cfo/Secretary
Phone
(714) 932-8512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

17501 Irvine Blvd Ste 103
Tustin, CA 92780-3147

Mailing address

17501 Irvine Blvd Ste 103
Tustin, CA 92780-3147
Phone (714) 932-8512

National Provider Directory

National Provider Directory

Locations

17501 Irvine Blvd
Ste 103
Tustin, CA 92780
Phone (714) 932-8512

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1487560058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17501 IRVINE BLVD STE 103",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803147",
            "telephone_number": "714-932-8512",
            "fax_number": "949-390-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17501 IRVINE BLVD STE 103",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803147",
            "telephone_number": "714-932-8512",
            "fax_number": "949-390-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN ACUPUNCTURE & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SEOK",
        "authorized_official_title_or_position": "CEO/CFO/SECRETARY",
        "authorized_official_telephone_number": "714-932-8512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.