# INSTITUTE OF ACUPUNCTURE AND LIFESTYLE MEDICINE, INC

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

## Provider details

- **NPI number:** 1720807258
- **Authorized official:** NILOOFAR NIKPOUR LAC, MTOM (VICE PRESIDENT)
- **Authorized official phone:** (949) 229-5055

## Contact information

- **Practice address:** 30131 TOWN CENTER DR STE 270, LAGUNA NIGUEL, CA 92677-2082
- **Practice address phone:** (949) 229-5055
- **Practice address fax:** (714) 362-2337
- **Mailing address:** 31961 VIA GALLO, TRABUCO CANYON, CA 92679-3935
- **Mailing address phone:** (310) 863-5484
- **Mailing address fax:** (714) 362-2337

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2024
- **Last updated:** 10/10/2024