Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebenezer Wellness Center, Inc

Organization General Practice Physician · NPI 1114339272

Ebenezer Wellness Center, Inc is a General Practice Physician in Irvine, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16261 Laguna Canyon Rd Ste 100
Irvine, CA 92618-3608
Phone: (714) 636-3886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A86714 (CA)

Record details

NPI number1114339272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Junghee Kim — Vice President · (714) 618-3942
NPI enumeratedMay 23, 2014
Last updated in NPPESMay 23, 2014
Mailing address16261 Laguna Canyon Rd, Suite 100, Irvine, CA 92618-3608

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