MEDICARE: SIMPLE HEALTH ACUPUNCTURE & 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	111N00000X	Chiropractor
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1962971812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMPLE HEALTH ACUPUNCTURE & WELLNESS, INC.

Provider Business Mailing Address
First Line	:	3505 LONG BEACH BLVD STE 2D
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3947
Country	:	US
Telephone Number	:	562-424-5505
Fax Number	:	562-318-3046

Provider Business Practice Location Address
First Line	:	3505 LONG BEACH BLVD STE 2D
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3947
Country	:	US
Telephone Number	:	562-424-5505
Fax Number	:	562-318-3046

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GREGORY ROSS BROWN
Credential	:
Telephone Number	:	562-426-8247

Provider Enumeration Date	:	11/21/2018
Last Update Date	:	07/20/2023

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