MEDICARE: HANA HOLISTIC WELLNESS - ACUPUNCTURE & HERBS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1518440668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANA HOLISTIC WELLNESS - ACUPUNCTURE & HERBS

Provider Business Mailing Address
First Line	:	680 WILSHIRE PL STE 316
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-3950
Country	:	US
Telephone Number	:	213-247-8440
Fax Number	:

Provider Business Practice Location Address
First Line	:	680 WILSHIRE PL STE 316
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-3950
Country	:	US
Telephone Number	:	213-247-8440
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	MS. SEUNGAI SON
Credential	:
Telephone Number	:	213-247-8440

Provider Enumeration Date	:	09/13/2018
Last Update Date	:	09/13/2018

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Directions to “HANA HOLISTIC WELLNESS - ACUPUNCTURE & HERBS ” Practice Location

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