Provider Demographics
NPI:1609029776
Name:NATURAL HEALING GROUP
Entity Type:Organization
Organization Name:NATURAL HEALING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIBONG
Authorized Official - Middle Name:
Authorized Official - Last Name:SUK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:714-535-1727
Mailing Address - Street 1:710 S BROOKHURST ST. #M
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-4321
Mailing Address - Country:US
Mailing Address - Phone:714-535-1727
Mailing Address - Fax:
Practice Address - Street 1:710 S BROOKHURST ST STE M
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-4321
Practice Address - Country:US
Practice Address - Phone:714-535-1727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12007261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain