Healthcare Provider Details

I. General information

NPI: 1689258014
Provider Name (Legal Business Name): HEALTHY ACUPUNCTURE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2021
Last Update Date: 05/12/2021
Certification Date: 05/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28999 OLD TOWN FRONT ST STE 206
TEMECULA CA
92590-5806
US

IV. Provider business mailing address

33079 PUFFIN ST
TEMECULA CA
92592-3306
US

V. Phone/Fax

Practice location:
  • Phone: 951-595-5477
  • Fax: 951-383-8058
Mailing address:
  • Phone: 951-595-5477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: HEATHER RAMAHA
Title or Position: ACUPUNCTURIST
Credential: L.AC
Phone: 951-595-5477