Provider Demographics
NPI:1154029783
Name:BLESSED ACUPUNCTURE AND WELLNESS INC
Entity type:Organization
Organization Name:BLESSED ACUPUNCTURE AND WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ACUPUNCTURE
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUONG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DACM, DIPL OM
Authorized Official - Phone:916-827-1808
Mailing Address - Street 1:9098 LAGUNA MAIN ST STE 7A
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7449
Mailing Address - Country:US
Mailing Address - Phone:916-827-1808
Mailing Address - Fax:916-384-4882
Practice Address - Street 1:9098 LAGUNA MAIN ST STE 7A
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7449
Practice Address - Country:US
Practice Address - Phone:916-827-1808
Practice Address - Fax:916-384-4882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty