Healthcare Provider Details

I. General information

NPI: 1760637417
Provider Name (Legal Business Name): BALANCE & HARMONY WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2008
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W HUNTINGTON DR STE 112
ARCADIA CA
91007-3478
US

IV. Provider business mailing address

520 S KINGSLEY DR APT 307
LOS ANGELES CA
90020-3510
US

V. Phone/Fax

Practice location:
  • Phone: 626-461-5228
  • Fax: --
Mailing address:
  • Phone: 626-359-8889
  • Fax: 626-305-3149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 10623
License Number StateCA

VIII. Authorized Official

Name: DR. SANG KUN LEE
Title or Position: OWNER/PRESIDENT
Credential: PHD, L.AC, DIPLOOM
Phone: 626-461-5228