Pure Light Healing Clinic in Irvine - Medical Specialty
Pure Light Healing Clinic - NPI 1114112620
Pure Light Healing Clinic is a Medical Specialty in Irvine, California. Pure Light Healing Clinic practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Pure Light Healing Clinic is 1114112620. The last update date is 2012-03-02.
Pure Light Healing Clinic's current location address is 2691 Richter Ave, Irvine, California. You can contact this provider via phone number 9492617873 and fax number 9492617872. The mailing address for Pure Light Healing Clinic is 2691 Richter Ave, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pure Light Healing Clinic |
|---|---|
| Address | 2691 Richter Ave, Irvine, California |
| Phone Number | 9492617873 |
| Fax Number | 9492617872 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACUPUNCTUR |
|---|---|
| Authorized Official Name | Kang Yong Suk |
| Credentials | L.AC. |
| Telephone Number | 9492617873 |
NPI Number Detail
| NPI Number | 1114112620 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2012-03-02 |
Provider Mailing Address Detail
| Address | 2691 Richter Ave |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926065125 |
| Phone Number | 9492617873 |
| Fax Number | 9492617872 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique 10-digit identification code assigned to Pure Light Healing Clinic by the Centers for Medicare & Medicaid Services?
The Pure Light Healing Clinic has been issued the NPI (National Provider Identifier) 1114112620, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Pure Light Healing Clinic is physically located?
The Pure Light Healing Clinic is situated at the following address: 2691 Richter Ave, Irvine, CA 926065125.
What is Pure Light Healing Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pure Light Healing Clinic is Medical Specialty, and the taxonomy code that categorizes this field of expertise is 261Qm2500X.
On what date did the Pure Light Healing Clinic receive the assignment of its 1114112620 from the Centers for Medicare & Medicaid Services?
The Pure Light Healing Clinic was issued its 1114112620 by the Centers for Medicare & Medicaid Services on 2007-09-07.
When was the information regarding Pure Light Healing Clinic most recently updated?
The details pertaining to the Pure Light Healing Clinic, including its address, specialty, and other relevant information, were last refreshed on 2012-03-02.
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