| Organization Name: | PACIFIC HEALING AND WELLNESS, INC. |
| NPI Number: | 1104117647 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA L GOINES (CEO) |
| Mailing Address: | 5242 Katella Ave Suite 106 Los Alamitos |
| State: | CA US |
| Postal Code: | 907202820 |
| Phone Number: | 9492148559 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2011 |
| NPI Last Update Date: | 05/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 2OA8212 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |