Provider Demographics
NPI:1528311248
Name:NEWLIFE HEALING ACUPUNCTURE CENTER INC
Entity type:Organization
Organization Name:NEWLIFE HEALING ACUPUNCTURE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:JINGWEN
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:949-588-0158
Mailing Address - Street 1:25251 PASEO DE ALICIA
Mailing Address - Street 2:STE 101
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-4616
Mailing Address - Country:US
Mailing Address - Phone:949-588-0158
Mailing Address - Fax:949-588-0258
Practice Address - Street 1:25251 PASEO DE ALICIA
Practice Address - Street 2:STE 101
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4616
Practice Address - Country:US
Practice Address - Phone:949-588-0158
Practice Address - Fax:949-588-0258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12675171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty