Healthcare Provider Details

I. General information

NPI: 1679956957
Provider Name (Legal Business Name): THE BREATH WELLNESS FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2015
Last Update Date: 07/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1181 PUERTA DEL SOL SUITE 130
SAN CLEMENTE CA
92673-6345
US

IV. Provider business mailing address

1181 PUERTA DEL SOL SUITE 130
SAN CLEMENTE CA
92673-6345
US

V. Phone/Fax

Practice location:
  • Phone: 949-584-1942
  • Fax: 949-388-9958
Mailing address:
  • Phone: 949-584-1942
  • Fax: 949-388-9958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number12096
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: DR. VIRGINIA SCHOENFELD
Title or Position: FOUNDER
Credential:
Phone: 949-584-1942