| Innovative Wellness Consulting | |
|
5214 S Western Ave Los Angeles CA 90062-2701 | |
| (213) 394-5889 | |
| Not Available |
| Full Name | Innovative Wellness Consulting |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5214 S Western Ave, Los Angeles, California |
| Authorized Official Name and Position | Nakeya Fields (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2133945889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Wellness Consulting 236 W Mountain St Ste 103 Pasadena CA 91103-2968 Ph: (213) 394-5889 | Innovative Wellness Consulting 5214 S Western Ave Los Angeles CA 90062-2701 Ph: (213) 394-5889 |
| NPI Number | 1093561383 |
|---|---|
| Provider Enumeration Date | 04/26/2024 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093561383 | NPI | - | NPPES |
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