Healthcare Provider Details
I. General information
NPI: 1841117207
Provider Name (Legal Business Name): MAXRELAX THERAPY INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23595 MOULTON PKWY STE J
LAGUNA HILLS CA
92653-1939
US
IV. Provider business mailing address
4521 CAMPUS DR STE 386-I
IRVINE CA
92612-2621
US
V. Phone/Fax
- Phone: 949-386-1822
- Fax:
- Phone: 949-386-1822
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
XUNHAI
LIU
Title or Position: CEO
Credential:
Phone: 949-386-1822