Healthcare Provider Details

I. General information

NPI: 1114870466
Provider Name (Legal Business Name): CINNATWIG ACUPUNCTURE WELLNESS - PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 CAMINO DEL RIO S STE 140
SAN DIEGO CA
92108-3767
US

IV. Provider business mailing address

9921 CARMEL MOUNTAIN RD STE 132
SAN DIEGO CA
92129-2813
US

V. Phone/Fax

Practice location:
  • Phone: 917-406-9419
  • Fax:
Mailing address:
  • Phone: 917-406-9419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: IRIS LUEN WAH LAU
Title or Position: OWNER
Credential: DACHM
Phone: 917-406-9419