Provider Demographics
NPI:1962971812
Name:SIMPLE HEALTH ACUPUNCTURE & WELLNESS, INC.
Entity type:Organization
Organization Name:SIMPLE HEALTH ACUPUNCTURE & WELLNESS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-426-8247
Mailing Address - Street 1:3505 LONG BEACH BLVD STE 2D
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3947
Mailing Address - Country:US
Mailing Address - Phone:562-424-5505
Mailing Address - Fax:562-318-3046
Practice Address - Street 1:3505 LONG BEACH BLVD STE 2D
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3947
Practice Address - Country:US
Practice Address - Phone:562-424-5505
Practice Address - Fax:562-318-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-21
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty