Provider Demographics
NPI:1831461698
Name:EAST WEST HEALTH SOLUTIONS INC
Entity type:Organization
Organization Name:EAST WEST HEALTH SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REGAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARCHIBALD
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:801-582-2011
Mailing Address - Street 1:34 S 500 E STE 202
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1094
Mailing Address - Country:US
Mailing Address - Phone:801-582-2011
Mailing Address - Fax:801-532-4710
Practice Address - Street 1:34 S 500 E STE 202
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1094
Practice Address - Country:US
Practice Address - Phone:801-582-2011
Practice Address - Fax:801-532-4710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6272172-4405364S00000X
UT8255186-1202111N00000X
UT5743144-1201171100000X
UT8185054-12052083P0901X
UT6592169-1205208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty