| Lifeline Walk In Medical & Mental Health Nursing Clinic, Inc | |
|
3535 Torrance Blvd Ste 13 Torrance CA 90503-4815 | |
| (310) 736-2517 | |
| Not Available |
| Full Name | Lifeline Walk In Medical & Mental Health Nursing Clinic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3535 Torrance Blvd Ste 13, Torrance, California |
| Authorized Official Name and Position | Anulika Chilaka (OWNER) |
| Authorized Official Contact | 3107362517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Walk In Medical & Mental Health Nursing Clinic, Inc 3535 Torrance Blvd Ste 13 Torrance CA 90503-4815 Ph: (310) 736-2517 | Lifeline Walk In Medical & Mental Health Nursing Clinic, Inc 3535 Torrance Blvd Ste 13 Torrance CA 90503-4815 Ph: (310) 736-2517 |
| NPI Number | 1134963309 |
|---|---|
| Provider Enumeration Date | 06/22/2024 |
| Last Update Date | 01/14/2026 |
| Certification Date | 01/14/2026 |
| Medicare PECOS PAC ID | 0749727147 |
|---|---|
| Medicare Enrollment ID | O20240802002202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134963309 | NPI | - | NPPES |
| 1679140644 | Other | CA | PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER |
| 1720410202 | Other | CA | FAMILY |
| Provider Name | Anulika Chilaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720410202 PECOS PAC ID: 7416178314 Enrollment ID: I20150825004924 |
| Provider Name | Sharon Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073073649 PECOS PAC ID: 4688903172 Enrollment ID: I20190909002732 |
| Provider Name | Samuel Uchechukwu Chilaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679140644 PECOS PAC ID: 8527425891 Enrollment ID: I20230531002448 |
| Provider Name | Jason Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043453228 PECOS PAC ID: 6709042534 Enrollment ID: I20240924002594 |
| Provider Name | Philip Wasef |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952729543 PECOS PAC ID: 6103114798 Enrollment ID: I20240925003725 |
| Provider Name | Tiona Sykes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073169512 PECOS PAC ID: 4880122175 Enrollment ID: I20250115000062 |
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