MEDICARE: SOWA WELLNESS CENTER INC

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	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1578402319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOWA WELLNESS CENTER INC

Provider Business Mailing Address
First Line	:	1528 6TH ST STE 120
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90401-2564
Country	:	US
Telephone Number	:	310-913-8255
Fax Number	:

Provider Business Practice Location Address
First Line	:	1528 6TH ST STE 120
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90401-2564
Country	:	US
Telephone Number	:	310-913-8255
Fax Number	:

Authorized Official
Title or Position	:	CLINIC MANANGER
Name	:	JING WEN
Credential	:
Telephone Number	:	415-806-8819

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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Directions to “SOWA WELLNESS CENTER INC ” Practice Location

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