# FOREST MASSAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forest Massage
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053748988
- **Authorized official:** MR. LIN TAO (CO-OWNER)
- **Authorized official phone:** (949) 595-0201

## Contact information

- **Practice address:** 24531 TRABUCO RD STE C, LAKE FOREST, CA 92630-2162
- **Practice address phone:** (949) 595-0201
- **Mailing address:** 24531 TRABUCO RD STE C, LAKE FOREST, CA 92630-2162
- **Mailing address phone:** (949) 595-0201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | CA14841 | CA | Yes |

## Other

- **Enumeration date:** 10/10/2013
- **Last updated:** 10/10/2013
