Wellness Heaven

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

WELLNESS HEAVEN

Practice address

9042 Garden Grove Blvd Ste 120
Garden Gove, CA 92844-1370

Phone

(714) 638-5071

NPI assigned

Jan 31, 2019

Organization subpart

Yes

Parent organization

WELLNESSHAVENAs reported in NPPES

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

Authorized official

Name

Eunsook ChoNPI 1851572994

Title

Ceo

Phone

(714) 638-5071

Specialties & licenses 1

Addresses

Part of

Wellness Heaven

Locations

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.

• Eunsook Cho, LAC.

  • Acupuncturist
  • Garden Grove, CA
  • NPI 1851572994
  NPD (past) Authorized official

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1538623848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9042 GARDEN GROVE BLVD STE 120",
            "city": "GARDEN GOVE",
            "state": "CA",
            "postal_code": "928441370",
            "telephone_number": "714-638-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9042 GARDEN GROVE BLVD STE 120",
            "city": "GARDEN GOVE",
            "state": "CA",
            "postal_code": "928441370",
            "telephone_number": "714-638-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HEAVEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNESSHAVEN",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "EUNSOOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-638-5071"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.