# HEALING TREE CLINIC

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

## Provider details

- **NPI number:** 1386996635
- **Authorized official:** DR. SHANE LEE L.AC. (CO-OWNER)
- **Authorized official phone:** (949) 559-3675

## Contact information

- **Practice address:** 14785 JEFFREY RD, SUITE 109, IRVINE, CA 92618-0408
- **Practice address phone:** (949) 559-3675
- **Practice address fax:** (949) 559-3631
- **Mailing address:** 14785 JEFFREY RD, SUITE 109, IRVINE, CA 92618-0408
- **Mailing address phone:** (949) 559-3675
- **Mailing address fax:** (949) 559-3631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC31295 | CA | — |
| 171100000X | Acupuncturist | AC9915 | CA | Yes |

## Other

- **Enumeration date:** 10/11/2012
- **Last updated:** 10/11/2012