Healthcare Provider Details
I. General information
NPI: 1821910084
Provider Name (Legal Business Name): ACHIEVEMENT WELLNESS AND ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2090 N TUSTIN AVE STE 210
SANTA ANA CA
92705-7867
US
IV. Provider business mailing address
2090 N TUSTIN AVE STE 210
SANTA ANA CA
92705-7867
US
V. Phone/Fax
- Phone: 949-229-1014
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEVIN
WONG
Title or Position: CEO
Credential: L.AC.
Phone: 949-229-1014