Pure Light Healing Clinic
Clinic/Center, Medical Specialty in Irvine, CA. Organization (NPI-2).
NPI number1114112620
StatusActive
Last updated in NPPESMar 2, 2012
Details
- NPI
- 1114112620
- Entity type
- Organization (NPI-2)
- Legal business name
- Pure Light Healing Clinic
- Organization subpart
- No
- Enumeration date
- Sep 7, 2007
- Last updated
- Mar 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | CA | Yes |
| 111N00000X | Chiropractor | – | – | |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – |
Practice location
2691 Richter AveSuite 131
Irvine, CA 92606-5125
Phone 949-261-7873 · Fax 949-261-7872
Mailing address
2691 Richter AveSuite 131
Irvine, CA 92606-5125
Phone 949-261-7873 · Fax 949-261-7872
Authorized official
Suk Yong Kang
Acupuncturist
9492617873
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