Provider Demographics
NPI:1689258014
Name:HEALTHY ACUPUNCTURE CORPORATION
Entity Type:Organization
Organization Name:HEALTHY ACUPUNCTURE CORPORATION
Other - Org Name:HEALTHY ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMAHA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:951-595-5477
Mailing Address - Street 1:33079 PUFFIN ST
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-3306
Mailing Address - Country:US
Mailing Address - Phone:951-595-5477
Mailing Address - Fax:
Practice Address - Street 1:28999 OLD TOWN FRONT ST STE 206
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5806
Practice Address - Country:US
Practice Address - Phone:951-595-5477
Practice Address - Fax:951-383-8058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty