| Alliance For Wellness, Inc. | |
|
16260 Ventura Blvd Ste 630 Encino CA 91436-2255 | |
| (747) 998-0387 | |
| Not Available |
| Full Name | Alliance For Wellness, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/07/2010 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Medicare PECOS PAC ID | 9931355617 |
|---|---|
| Medicare Enrollment ID | O20120813000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124329131 | NPI | - | NPPES |
| GR1124329 | Medicaid | CA | |
| FNP41013 | Other | CA | FICTITIOUS NAME PERMIT |
| Provider Name | Mark Laty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528151404 PECOS PAC ID: 9638157142 Enrollment ID: I20040712000337 |
| Provider Name | Anil Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447328109 PECOS PAC ID: 1355313370 Enrollment ID: I20040810001288 |
| Provider Name | Austina B Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780770453 PECOS PAC ID: 5991862831 Enrollment ID: I20090320000503 |
| Provider Name | David M Oliver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649245986 PECOS PAC ID: 5092997734 Enrollment ID: I20110316000785 |
| Provider Name | Saeed Humayun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518059955 PECOS PAC ID: 4082885553 Enrollment ID: I20111221000821 |
| Provider Name | Cordelia Rose E Onyekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194026542 PECOS PAC ID: 2163686577 Enrollment ID: I20120615000265 |
| Provider Name | Mitali Wadekar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588853014 PECOS PAC ID: 7618123399 Enrollment ID: I20130402000258 |
| Provider Name | Bryan Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962701581 PECOS PAC ID: 4880907336 Enrollment ID: I20150714000012 |
| Provider Name | Gagan D Mall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083714919 PECOS PAC ID: 3274539531 Enrollment ID: I20160115002332 |
| Provider Name | Jane Agu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013375211 PECOS PAC ID: 2264726454 Enrollment ID: I20160811000053 |
| Provider Name | Manjit S Sran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467765792 PECOS PAC ID: 5890921134 Enrollment ID: I20161109002056 |
| Provider Name | Daniel A Kirsten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134508773 PECOS PAC ID: 3678840691 Enrollment ID: I20170523001878 |
| Provider Name | Erica Metu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861938623 PECOS PAC ID: 1052687902 Enrollment ID: I20171020003116 |
| Provider Name | Danielle Bridget Unrein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598282584 PECOS PAC ID: 0547528945 Enrollment ID: I20171212001979 |
| Provider Name | Nkechi Akpati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558871020 PECOS PAC ID: 0143567818 Enrollment ID: I20190204001531 |
| Provider Name | Mercy Ndom Nyeche |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144757030 PECOS PAC ID: 7517399496 Enrollment ID: I20191114001168 |
| Provider Name | Neeraj Gupta |
|---|---|
| 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 |
|---|---|
| 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 | 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 |
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