Healthcare Provider Details

I. General information

NPI: 1831502483
Provider Name (Legal Business Name): PRECISION POINT WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2014
Last Update Date: 05/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27450 YNEZ RD STE 110A
TEMECULA CA
92591-4649
US

IV. Provider business mailing address

27450 YNEZ RD STE 110A
TEMECULA CA
92591-4649
US

V. Phone/Fax

Practice location:
  • Phone: 951-676-8640
  • Fax: 951-501-3583
Mailing address:
  • Phone: 951-676-8640
  • Fax: 951-951-5013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC14705
License Number StateCA

VIII. Authorized Official

Name: DR. DREW NYSTROM
Title or Position: OWNER
Credential: DAOM, LAC, HHP, CMT
Phone: 951-387-4841