Provider Demographics
NPI:1598181935
Name:EMBRACE HEALING AND WELLNESS
Entity Type:Organization
Organization Name:EMBRACE HEALING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:ALONGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC,
Authorized Official - Phone:814-573-6821
Mailing Address - Street 1:10731 LAWLER ST
Mailing Address - Street 2:APT. 4
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-5460
Mailing Address - Country:US
Mailing Address - Phone:814-573-6821
Mailing Address - Fax:
Practice Address - Street 1:2001 S BARRINGTON AVE
Practice Address - Street 2:SUITE 312
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5363
Practice Address - Country:US
Practice Address - Phone:424-273-1210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32564111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty