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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