Alliance For Wellness, Inc. | |
16260 Ventura Blvd Ste 630 Encino CA 91436-2255 | |
(747) 998-0387 | |
Not Available |
Full Name | Alliance For Wellness, Inc. |
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Speciality | Psychiatry & Neurology |
Location | 16260 Ventura Blvd Ste 630, Encino, California |
Authorized Official Name and Position | Anil Sharma (PRESIDENT AND CEO) |
Authorized Official Contact | 7479980387 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alliance For Wellness, Inc. 9250 Reseda Blvd # 658 Northridge CA 91324-3142 Ph: (747) 998-0387 | Alliance For Wellness, Inc. 16260 Ventura Blvd Ste 630 Encino CA 91436-2255 Ph: (747) 998-0387 |
NPI Number | 1124329131 |
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Provider Enumeration Date | 11/07/2010 |
Last Update Date | 08/30/2022 |
Certification Date | 08/30/2022 |
Medicare PECOS PAC ID | 9931355617 |
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Medicare Enrollment ID | O20120813000228 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124329131 | NPI | - | NPPES |
GR1124329 | Medicaid | CA | |
FNP41013 | Other | CA | FICTITIOUS NAME PERMIT |
Provider Name | Mark Laty |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528151404 PECOS PAC ID: 9638157142 Enrollment ID: I20040712000337 |
Provider Name | Anil Sharma |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447328109 PECOS PAC ID: 1355313370 Enrollment ID: I20040810001288 |
Provider Name | Austina B Cho |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780770453 PECOS PAC ID: 5991862831 Enrollment ID: I20090320000503 |
Provider Name | David M Oliver |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649245986 PECOS PAC ID: 5092997734 Enrollment ID: I20110316000785 |
Provider Name | Saeed Humayun |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518059955 PECOS PAC ID: 4082885553 Enrollment ID: I20111221000821 |
Provider Name | Cordelia Rose E Onyekwe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194026542 PECOS PAC ID: 2163686577 Enrollment ID: I20120615000265 |
Provider Name | Mitali Wadekar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1588853014 PECOS PAC ID: 7618123399 Enrollment ID: I20130402000258 |
Provider Name | Ann P Seide |
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Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1649203084 PECOS PAC ID: 9234267840 Enrollment ID: I20150527003011 |
Provider Name | Bryan Yang |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1962701581 PECOS PAC ID: 4880907336 Enrollment ID: I20150714000012 |
Provider Name | Gagan D Mall |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083714919 PECOS PAC ID: 3274539531 Enrollment ID: I20160115002332 |
Provider Name | Jane Agu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013375211 PECOS PAC ID: 2264726454 Enrollment ID: I20160811000053 |
Provider Name | Manjit S Sran |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467765792 PECOS PAC ID: 5890921134 Enrollment ID: I20161109002056 |
Provider Name | Daniel A Kirsten |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1134508773 PECOS PAC ID: 3678840691 Enrollment ID: I20170523001878 |
Provider Name | Erica Metu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861938623 PECOS PAC ID: 1052687902 Enrollment ID: I20171020003116 |
Provider Name | Danielle Bridget Unrein |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598282584 PECOS PAC ID: 0547528945 Enrollment ID: I20171212001979 |
Provider Name | Adam Ruggle |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417367186 PECOS PAC ID: 3870849607 Enrollment ID: I20190128003429 |
Provider Name | Nkechi Akpati |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558871020 PECOS PAC ID: 0143567818 Enrollment ID: I20190204001531 |
Provider Name | Mercy Ndom Nyeche |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689190068 PECOS PAC ID: 3476887480 Enrollment ID: I20190625003388 |
Provider Name | Helen F Ntung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992219661 PECOS PAC ID: 6406181411 Enrollment ID: I20190712002652 |
Provider Name | Doan Q Nguyen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336503838 PECOS PAC ID: 0143584599 Enrollment ID: I20191002002125 |
Provider Name | Anthony Karapetians |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144757030 PECOS PAC ID: 7517399496 Enrollment ID: I20191114001168 |
Provider Name | Neeraj Gupta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356504062 PECOS PAC ID: 2769816057 Enrollment ID: I20191219000533 |
Provider Name | Brian Wen-long Wu |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033637236 PECOS PAC ID: 2466879465 Enrollment ID: I20200903003355 |
Provider Name | Chukwudi Obue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477189223 PECOS PAC ID: 6507271038 Enrollment ID: I20210216001242 |
Provider Name | Emily P Ng |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730619818 PECOS PAC ID: 7719383009 Enrollment ID: I20210913001336 |
Provider Name | Dave P Ravi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043501364 PECOS PAC ID: 5890032601 Enrollment ID: I20211117001577 |
Provider Name | Rosa Maria Aguero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215534888 PECOS PAC ID: 7517356207 Enrollment ID: I20211118002049 |
Provider Name | Thomas G Kwong |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1962937037 PECOS PAC ID: 7810387552 Enrollment ID: I20211210002422 |
Provider Name | Christine Nancy Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811272206 PECOS PAC ID: 3173918794 Enrollment ID: I20220317002624 |
Provider Name | Theo Ogbonna Ikele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871088518 PECOS PAC ID: 7113313123 Enrollment ID: I20220330003079 |
Provider Name | Brittney Bryant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396496477 PECOS PAC ID: 2668852005 Enrollment ID: I20220701002097 |
Provider Name | Amenaghawon Alice Ugwuede |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780347955 PECOS PAC ID: 5890163935 Enrollment ID: I20221122001182 |
Provider Name | Victoria Esso Omson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548989965 PECOS PAC ID: 6507234473 Enrollment ID: I20221128000219 |
Provider Name | Olajumoke Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114694635 PECOS PAC ID: 6709242035 Enrollment ID: I20230511002534 |
Provider Name | Ben M Emeruwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588390629 PECOS PAC ID: 4183080435 Enrollment ID: I20230511003470 |
Provider Name | Todd R Wojtanowicz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922491596 PECOS PAC ID: 3779816517 Enrollment ID: I20230602002495 |
Provider Name | Sriram Ramaswamy |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1174570311 PECOS PAC ID: 8426085994 Enrollment ID: I20230623001048 |
Provider Name | Fernando Rodriguez Vega |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477279578 PECOS PAC ID: 4688033996 Enrollment ID: I20230705002111 |
Provider Name | Omorogiuwa Maureen Adeneye |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770271280 PECOS PAC ID: 9436519279 Enrollment ID: I20230712002229 |
Provider Name | Matthew Paley |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396303756 PECOS PAC ID: 9638557234 Enrollment ID: I20230720003706 |
Provider Name | Elizabeth Karimi |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1922467679 PECOS PAC ID: 0648623207 Enrollment ID: I20240130003181 |
Provider Name | Glenn Berdin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154938637 PECOS PAC ID: 7517306053 Enrollment ID: I20240417002147 |
Provider Name | Monika Mladenovic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922772086 PECOS PAC ID: 9133661077 Enrollment ID: I20240607000223 |
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