| NPI | 1902082928 |
|---|---|
| Doing Business As | HOLISTIC HEALING SOURCE |
| Entity Type | Organization |
| Authorized Contact | SAHNG JAE YOO Manager 909-989-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 10000) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2010-07-23 |