Sky Wellness Center Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

SKY WELLNESS CENTER INC

Practice address

20651 Lake Forest Dr Ste A111
Lake Forest, CA 92630-7750

Phone

(949) 460-0488

NPI assigned

Mar 28, 2022

Organization subpart

No

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

Authorized official

Name

Chia Shen, PH.DNPI 1417206632

Title

Director

Phone

(424) 383-0263

Specialties & licenses 1

Addresses

Other names 1

• SKY WELLNESS CENTER Doing business as

Locations

Practitioners 1

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

• Chia Shen, L.AC. PH.D.

  • Acupuncturist
  • Avalon, CA
  • NPI 1417206632
  NPD Authorized official

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1972253391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 15TH ST UNIT 3025",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667302",
            "telephone_number": "424-383-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20651 LAKE FOREST DR STE A111",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307750",
            "telephone_number": "949-460-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "CHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "424-383-0263",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKY WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Socal Adolescent Wellness, Inc.

• Acupuncturist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.