NEW LIFE WELLNESS CENTER OF CA; NPI #1891539912

Contact Information

NEW LIFE WELLNESS CENTER OF CA

3685 MOTOR AVE STE 150
LOS ANGELES, CA 90034-7203

Phone: 310-425-8433
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Adolescent and Children Mental Health	261QM0855X
Adult Mental Health	261QM0850X
Case Management	251B00000X
Clinic/Center	261Q00000X
Community/Behavioral Health	251S00000X
Early Intervention Provider Agency	252Y00000X
Military/U.S. Coast Guard Outpatient	261QM1100X
Non-emergency Medical Transport (VAN)	343900000X
Prison Health	261QP2400X
Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility
Rehabilitation, Substance Use Disorder	261QR0405X
Rehabilitation, Substance Use Disorder Unit	276400000X

Indicates primary specialty

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NPI Profile & details for NEW LIFE WELLNESS CENTER OF CA

NPI #	`1891539912`
LBN Legal business name	NEW LIFE WELLNESS CENTER OF CA
Authorized official	DAVID MOORE - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/24/2024
Last updated	06/24/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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NEW LIFE WELLNESS CENTER OF CA

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NPI Profile & details for NEW LIFE WELLNESS CENTER OF CA

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