Healthcare Provider Details

I. General information

NPI: 1922661636
Provider Name (Legal Business Name): CENTER OF HEALTH AND WELLBEING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2019
Last Update Date: 04/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3636 FIFTH AVE STE 300
SAN DIEGO CA
92103-4230
US

IV. Provider business mailing address

3636 FIFTH AVE STE 300
SAN DIEGO CA
92103-4230
US

V. Phone/Fax

Practice location:
  • Phone: 808-557-5349
  • Fax:
Mailing address:
  • Phone: 619-814-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. HEIDI A HOFELICH
Title or Position: LICENSED ACUPUNCTURIST
Credential: L.AC
Phone: 808-557-5349