Healthcare Provider Details

I. General information

NPI: 1417870619
Provider Name (Legal Business Name): WELLNESS ACUPUNCTURE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 7TH AVE STE 135
SANTA CRUZ CA
95062-4670
US

IV. Provider business mailing address

200 7TH AVE STE 135
SANTA CRUZ CA
95062-4670
US

V. Phone/Fax

Practice location:
  • Phone: 831-588-9581
  • Fax: 831-500-3086
Mailing address:
  • Phone: 831-588-9581
  • Fax: 831-400-3086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SARAH SAMAYA CULLERTON
Title or Position: CEO
Credential: L.AC, MTCM
Phone: 831-588-9581