Healthcare Provider Details

I. General information

NPI: 1831047208
Provider Name (Legal Business Name): BASK WELLNESS ACUPUNCTURE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29379 RANCHO CALIFORNIA RD STE 206
TEMECULA CA
92591-5210
US

IV. Provider business mailing address

29379 RANCHO CALIFORNIA RD ST 206
TEMECULA CA
92591-5299
US

V. Phone/Fax

Practice location:
  • Phone: 951-595-0022
  • Fax:
Mailing address:
  • Phone: 951-595-0022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ERICA ZAVALEE
Title or Position: CEO
Credential: L.AC.
Phone: 951-595-0022