Provider Demographics
NPI:1124157458
Name:ENG, HELEN (LAC)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:ENG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39369 CALLE SEGOVIA
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-8481
Mailing Address - Country:US
Mailing Address - Phone:951-764-2626
Mailing Address - Fax:951-767-1800
Practice Address - Street 1:28751 RANCHO CALIFORNIA RD
Practice Address - Street 2:STE. 202
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-1863
Practice Address - Country:US
Practice Address - Phone:951-764-2626
Practice Address - Fax:951-767-1800
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 8048171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist