MEDICARE: MYWAY HEALTH LLC

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	261QP3300X	Pain Clinic/Center

General Provider Information

NPI Number	:	1568041440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYWAY HEALTH LLC

Provider Business Mailing Address
First Line	:	7916 SUNRISE BLVD
Second Line	:
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-1531
Country	:	US
Telephone Number	:	916-265-0565
Fax Number	:	916-256-2806

Provider Business Practice Location Address
First Line	:	7916 SUNRISE BLVD
Second Line	:
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-1531
Country	:	US
Telephone Number	:	916-265-0565
Fax Number	:	916-256-2806

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUN HU
Credential	:	PHD, LAC
Telephone Number	:	916-265-0565

Provider Enumeration Date	:	04/06/2021
Last Update Date	:	04/06/2021

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Directions to “MYWAY HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

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