Provider Demographics
NPI:1497594816
Name:MAXRELAX ZEN INC.
Entity type:Organization
Organization Name:MAXRELAX ZEN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GUIQIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-228-1551
Mailing Address - Street 1:1309 COFFEEN AVE STE 14130, C/O RAJEUNVIE
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-5777
Mailing Address - Country:US
Mailing Address - Phone:307-228-1551
Mailing Address - Fax:
Practice Address - Street 1:23646 ROCKFIELD BLVD STE 601
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-1688
Practice Address - Country:US
Practice Address - Phone:307-228-1551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty