Organization
LIFE TRANSFORMER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE CHU LMFT (CEO)
(626) 423-9193
Entity
Organization
Contact information
Practice address
7365 CARNELIAN ST STE 232, RANCHO CUCAMONGA, CA 91730-1136
(626) 423-9193
Mailing address
12672 LIMONITE AVE STE 3E, EASTVALE, CA 92880-4208
(626) 423-9193
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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