Provider Demographics
NPI:1851602759
Name:HEALING CHAMBERS OF AMERICA
Entity Type:Organization
Organization Name:HEALING CHAMBERS OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/PATIENT COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-691-1482
Mailing Address - Street 1:995 GATEWAY CENTER WAY
Mailing Address - Street 2:#108
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-4500
Mailing Address - Country:US
Mailing Address - Phone:888-691-1482
Mailing Address - Fax:619-263-0067
Practice Address - Street 1:995 GATEWAY CENTER WAY
Practice Address - Street 2:#108
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-4500
Practice Address - Country:US
Practice Address - Phone:888-691-1482
Practice Address - Fax:619-263-0067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2647293261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center