Provider Demographics
NPI:1821464488
Name:J. RA'CHEL NEWMAN
Entity Type:Organization
Organization Name:J. RA'CHEL NEWMAN
Other - Org Name:WELLNESS GROUP OF AMERICA
Other - Org Type:Other Name
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:RA'CHEL
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:949-742-2270
Mailing Address - Street 1:300 E ARBOR ST SPC 34
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-6843
Mailing Address - Country:US
Mailing Address - Phone:949-742-2270
Mailing Address - Fax:
Practice Address - Street 1:1425 W ARTESIA BLVD
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-3231
Practice Address - Country:US
Practice Address - Phone:310-225-5662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16554171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty