Provider Demographics
NPI:1427200674
Name:HARMONY HEALING ARTS, LLC
Entity Type:Organization
Organization Name:HARMONY HEALING ARTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-475-0490
Mailing Address - Street 1:1662 NEWPORT BLVD
Mailing Address - Street 2:#312
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-7721
Mailing Address - Country:US
Mailing Address - Phone:720-475-0490
Mailing Address - Fax:
Practice Address - Street 1:1501 WESTCLIFF DR
Practice Address - Street 2:#303
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5517
Practice Address - Country:US
Practice Address - Phone:720-475-0490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3679111NX0800X
CA15819171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1346269057OtherNPI - INDIVIDUAL
CO487068Medicare PIN