Organization
HEALTHY LIFESTYLE CONSULTANT AND COACH
Active
Organization
HEALTHY LIFESTYLE CONSULTANT AND COACH
Active
Other names
Healthy Lifestyle Consultant and Coach
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANA A TALA MD, DIPACLM (OWNER/MANAGER)
(951) 268-6924
Entity
Organization
Contact information
Practice address
2951 HAMPSHIRE CIR, CORONA, CA 92879-6133
(951) 268-6924
(951) 268-6924
Mailing address
PO BOX 17958, IRVINE, CA 92623-7958
(951) 268-6924
(951) 268-6924
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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