Organization · NPI-2

East & West Functional Family Medicine & Acupuncture, INC.

Clinic/Center, Health Services · Poway, CA

NPI number1114739851
StatusActive
Last updated in NPPESJan 21, 2025

Details

NPI
1114739851
Entity type
Organization (NPI-2)
Legal business name
East & West Functional Family Medicine & Acupuncture, INC.
Organization subpart
No
Enumeration date
Jan 21, 2025
Certification date
Jan 21, 2025
Last updated
Jan 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health Services––Yes
171100000X Acupuncturist––
171400000X Health & Wellness Coach––
207Q00000X Family Medicine––

Practice location

15644 Pomerado Rd Ste 306
Poway, CA 92064-2419

Phone 517-375-3982

Mailing address

201 E Grand Ave Ste 2a
Escondido, CA 92025-2818

Authorized official

Morgan Zapalac
President
5173753982

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