Healthcare Provider Details

I. General information

NPI: 1154029783
Provider Name (Legal Business Name): BLESSED ACUPUNCTURE AND WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9098 LAGUNA MAIN ST STE 7A
ELK GROVE CA
95758-7449
US

IV. Provider business mailing address

9098 LAGUNA MAIN ST STE 7A
ELK GROVE CA
95758-7449
US

V. Phone/Fax

Practice location:
  • Phone: 916-827-1808
  • Fax: 916-384-4882
Mailing address:
  • Phone: 916-827-1808
  • Fax: 916-384-4882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLEN DUONG
Title or Position: DOCTOR OF ACUPUNCTURE
Credential: L.AC, DACM, DIPL OM
Phone: 916-827-1808