Healthcare Provider Details

I. General information

NPI: 1932567823
Provider Name (Legal Business Name): SW HEALTHMANAGEMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2016
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 N BROOKHURST ST
ANAHEIM CA
92801-5637
US

IV. Provider business mailing address

5590 ELSINORE AVE
BUENA PARK CA
90621-1356
US

V. Phone/Fax

Practice location:
  • Phone: 657-201-9444
  • Fax: 747-300-0071
Mailing address:
  • Phone: 213-219-1758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC12401
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC15218
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC16220
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: SUNG WON HAN
Title or Position: CEO
Credential:
Phone: 213-219-1758