Provider Demographics
NPI:1750468906
Name:FULL LIFE ALTERNATIVE
Entity Type:Organization
Organization Name:FULL LIFE ALTERNATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LISMIN
Authorized Official - Middle Name:YUBIAO
Authorized Official - Last Name:LING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:559-303-8528
Mailing Address - Street 1:1920 W PRINCETON AVE
Mailing Address - Street 2:#12
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-4493
Mailing Address - Country:US
Mailing Address - Phone:559-622-9880
Mailing Address - Fax:559-622-8880
Practice Address - Street 1:1920 W PRINCETON AVE
Practice Address - Street 2:#12
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-4493
Practice Address - Country:US
Practice Address - Phone:559-622-9880
Practice Address - Fax:559-622-8880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7749171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty