Provider Demographics
NPI:1417768680
Name:ANJEL WELLNESS LLC
Entity type:Organization
Organization Name:ANJEL WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ANJEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOUBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:310-299-6643
Mailing Address - Street 1:6522 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4716
Mailing Address - Country:US
Mailing Address - Phone:310-299-6643
Mailing Address - Fax:760-797-1845
Practice Address - Street 1:9301 WILSHIRE BLVD STE 313
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-6131
Practice Address - Country:US
Practice Address - Phone:310-299-6643
Practice Address - Fax:760-797-1845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty