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Ebenezer Wellness Center, Inc.
General Practice Physician in Irvine, California
NPI 1114339272

Ebenezer Wellness Center, Inc. is a General Practice Physician based in Irvine, CA. Ebenezer Wellness Center, Inc. practices in Irvine, CA. The NPI Number for Ebenezer Wellness Center, Inc. is 1114339272 and holds a License No. A86714 (California).

The current practice location address for Ebenezer Wellness Center, Inc. is 16261 Laguna Canyon Rd, Irvine, CA and can be reached out via phone at 714-636-3886.

Location: 16261 Laguna Canyon Rd, Irvine, CA, 92618-3608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114339272
Provider Name
Ebenezer Wellness Center, Inc.
Credential
Provider Entity Type
Organization
Address
16261 Laguna Canyon Rd, Irvine, CA, 92618-3608
Phone Number
714-636-3886
Fax Number
Provider Enumeration Date
05/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A86714 01 CA CA MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
16261 Laguna Canyon Rd
City
Irvine
State
California
Zip
92618-3608
Phone Number
714-636-3886
Fax Number
person
Provider Business Mailing Address Details
Address
16261 Laguna Canyon Rd
City
Irvine
State
California
Zip
92618-3608
Phone Number
714-636-3886
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A86714 (California)
Definition
Definition to come...
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