Provider Demographics
NPI:1720710783
Name:WAVE Q ACUPUNCTURE INC
Entity type:Organization
Organization Name:WAVE Q ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUCPUNCTURIST/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MIJOUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:760-970-0244
Mailing Address - Street 1:3861 MISSION AVE STE B27
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-1817
Mailing Address - Country:US
Mailing Address - Phone:760-970-0244
Mailing Address - Fax:760-696-3882
Practice Address - Street 1:3861 MISSION AVE STE B27
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92058-1817
Practice Address - Country:US
Practice Address - Phone:760-970-0244
Practice Address - Fax:760-696-3882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service