Healthcare Provider Details

I. General information

NPI: 1063365450
Provider Name (Legal Business Name): HEALING BREATHS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 IGNACIO VALLEY RD
WALNUT CREEK CA
94596
US

IV. Provider business mailing address

PO BOX 2610
WALNUT CREEK CA
94595-0610
US

V. Phone/Fax

Practice location:
  • Phone: 415-272-4494
  • Fax:
Mailing address:
  • Phone: 415-272-4494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: NAVEEN KONERU
Title or Position: HEAD OF PARTNERSHIPS
Credential:
Phone: 415-272-4494