Provider Demographics
NPI:1962097352
Name:LIVE AND WORK BY DESIGN
Entity type:Organization
Organization Name:LIVE AND WORK BY DESIGN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLEJO SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-507-1276
Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:
Mailing Address - City:ORO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:92368-0192
Mailing Address - Country:US
Mailing Address - Phone:909-507-1276
Mailing Address - Fax:
Practice Address - Street 1:19248 PRIVATE RD
Practice Address - Street 2:
Practice Address - City:ORO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:92368
Practice Address - Country:US
Practice Address - Phone:909-507-1276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)