Healthcare Provider Details

I. General information

NPI: 1649063678
Provider Name (Legal Business Name): JIN WELLNESS ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 N BROOKHURST ST STE 218
ANAHEIM CA
92801-5619
US

IV. Provider business mailing address

6131 ORANGETHORPE AVE STE 141
BUENA PARK CA
90620-4901
US

V. Phone/Fax

Practice location:
  • Phone: 714-584-4567
  • Fax:
Mailing address:
  • Phone: 213-352-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: JAE HWAN CHOE
Title or Position: CEO
Credential:
Phone: 213-352-6900