Organization
HARMONY WELLNESS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAISA MCDONNALL COPPOLA D.C. (OWNER/CHIROPRACTOR)
(949) 545-6116
Entity
Organization
Contact information
Practice address
30270 RANCHO VIEJO RD, G, SAN JUAN CAPISTRANO, CA 92675-1556
(949) 545-6116
(949) 545-6117
Mailing address
30270 RANCHO VIEJO RD, G, SAN JUAN CAPISTRANO, CA 92675-1556
(949) 545-6116
(949) 545-6117
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
Other
Enumeration date
05/08/2012
Last updated
10/12/2018
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