# LIFE AND NATURE WELLNESS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194690982
- **Authorized official:** SOO JIN CHO LAC (PRESIDENT)
- **Authorized official phone:** (949) 839-3259

## Contact information

- **Practice address:** 520 N BROOKHURST ST STE 204, ANAHEIM, CA 92801-5236
- **Practice address phone:** (714) 443-1779
- **Practice address fax:** (855) 224-7041
- **Mailing address:** 1000 N ROANNE PL UNIT B, ANAHEIM, CA 92801-3206
- **Mailing address phone:** (949) 839-3259
- **Mailing address fax:** (855) 224-7041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 10/09/2025
- **Last updated:** 10/09/2025
