Pure Light Healing Clinic is a
Clinic/center - Medical Specialty based in Irvine, California. Pure Light Healing Clinic is licensed to practice in California (license number ) and their current practice location is
2691 Richter Ave, Suite 131, Irvine, California. It can be reached at their office (for appointments etc.) via phone at
(949) 261-7873.
NPI number for Pure Light Healing Clinic is 1114112620 and their current mailing address is 2691 Richter Ave, Suite 131, Irvine, California. Pure Light Healing Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1114112620.
Healthcare Provider's Profile
| Full Name | Pure Light Healing Clinic |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Medical Specialty |
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| Location | 2691 Richter Ave, Irvine, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114112620
- Provider Enumeration Date: 09/07/2007
- Last Update Date: 03/02/2012
Medical Identifiers
Medical identifiers for Pure Light Healing Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114112620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pure Light Healing Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pure Light Healing Clinic
2691 Richter Ave, Suite 131,
Irvine, CA 92606-5125
Ph: (949) 261-7873 | Pure Light Healing Clinic
2691 Richter Ave, Suite 131,
Irvine, CA 92606-5125
Ph: (949) 261-7873 |
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