Provider Demographics
NPI:1811030562
Name:NATURAL LIFE CENTER
Entity Type:Organization
Organization Name:NATURAL LIFE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMMER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:916-989-0700
Mailing Address - Street 1:9399 MADISON AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4908
Mailing Address - Country:US
Mailing Address - Phone:916-989-0700
Mailing Address - Fax:916-989-4430
Practice Address - Street 1:9399 MADISON AVE STE 103
Practice Address - Street 2:
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4908
Practice Address - Country:US
Practice Address - Phone:916-989-0700
Practice Address - Fax:916-989-4430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty