MEDICARE: ANGELS HAND WELLNESS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	AC12562	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AC12562	OTHER	CA	STATE OF CALIFORNIA

General Provider Information

NPI Number	:	1316178460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS HAND WELLNESS INC

Provider Business Mailing Address
First Line	:	6693 DOWNEY AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-2822
Country	:	US
Telephone Number	:	562-634-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	6693 DOWNEY AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-2822
Country	:	US
Telephone Number	:	562-634-3300
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	DEOKSANG YU
Credential	:	L.AC.
Telephone Number	:	562-634-3300

Provider Enumeration Date	:	08/06/2009
Last Update Date	:	08/06/2009

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Directions to “ANGELS HAND WELLNESS INC ” Practice Location

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