NPI | 1659913291 |
---|---|
Doing Business As | LUZWAVE INTEGRATIVE MEDICINE |
Entity Type | Organization |
Authorized Contact | LINDA MACK Administrator 949-527-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2019-10-15 |
Last Update Date | 2020-03-17 |