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SOULPHYSIO LIFESTYLE 1710653589

Overview
Name: SOULPHYSIO LIFESTYLE Specialty: Multi-Specialty Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Multi-Specialty. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: SOULPHYSIO LIFESTYLE,17805 SKY PARK CIR STE F,IRVINE,CA,926146108,US Mailing Address: SOULPHYSIO LIFESTYLE,17805 SKY PARK CIR STE F,IRVINE,CA,926146108,US
Contact #
Practice location phone #: 9494187956 Practice location fax #: Mailing address Phone #: 9494187956 Mailing Address fax #: Authorized official Name/Telephone #:ANEESH, CHAUDHRY, OWNER 9494187956
Misc
Date NPI was obtained: 08/20/2021 Last data data was updated: 08/27/2021 Insurances:

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