OrganizationActive
Ebenezer Wellness Center, Inc.
NPI 1114339272 · General Practice Physician · Irvine, CA
Provider details
- NPI number
- 1114339272
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Junghee Kim, Vice President(714) 618-3942
- License
- A86714 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16261 Laguna Canyon Rd
Suite 100
Irvine, CA 92618-3608
Phone: (714) 636-3886
Street-level locationGet directions
Mailing address
16261 Laguna Canyon Rd
Irvine, CA 92618-3608
Registry dates
- Enumerated
- 2014-05-23
- Last updated
- 2014-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.