Look up the most recent NPI and PECOS records

Mental Wellness Acupuncture

Acupuncturist

Other Service Providers

2492 Walnut Ave Ste 260, Tustin, CA 92780-6963

PECOS Enrollment

Based on the most recent information from CMS, provider Mental Wellness Acupuncture does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1366942351
Provider Type
Organization
Full Name
Mental Wellness Acupuncture

Subpart
No
Enumeration Date
2/15/2018
Last Updated
2/15/2018

Contact Information

Practice Location

2492 Walnut Ave Ste 260, Tustin, CA 92780-6963

(949) 600-4451

Unlisted Fax

Mailing Location

2492 Walnut Ave Ste 260, Tustin, CA 92780-6963

(949) 600-4451

Unlisted Fax

Authorized Official

Shan, Zhiyin (Acupuncturist)

(949) 600-4451

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License 15541 California

Mental Wellness Acupuncture

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Lee, Soon Min

Xu, Deli

Xie, Zhihong

Opus Wellness Acupuncture Inc

Au, Lydia Oh

Longteng International Inc

We Care Acupuncture Health Center Inc.

Healthy Life Acupuncture & Herbal Medicine Center ,Inc

Lee, Seok

Wu, Annie Jiaying