Provider Demographics
NPI:1194940023
Name:NATURE HEALING CENTER
Entity type:Organization
Organization Name:NATURE HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AE KYUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:909-591-2926
Mailing Address - Street 1:3873 SCHAEFER AVE STE G
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-5459
Mailing Address - Country:US
Mailing Address - Phone:909-591-2926
Mailing Address - Fax:909-590-4482
Practice Address - Street 1:3873 SCHAEFER AVE STE G
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-5459
Practice Address - Country:US
Practice Address - Phone:909-591-2926
Practice Address - Fax:909-590-4482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 11111171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty