| Alani Health & Wellness Center A Nursing Corporation | |
|
7121 W Manchester Ave Los Angeles CA 90045-3508 | |
| (424) 750-9789 | |
| (424) 750-9791 |
| Full Name | Alani Health & Wellness Center A Nursing Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 7121 W Manchester Ave, Los Angeles, California |
| Authorized Official Name and Position | Ellen Larita Schmidt Olaivar (CEO AND CFO) |
| Authorized Official Contact | 3109620035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alani Health & Wellness Center A Nursing Corporation 7121 W Manchester Ave Los Angeles CA 90045-3508 Ph: (424) 750-9789 | Alani Health & Wellness Center A Nursing Corporation 7121 W Manchester Ave Los Angeles CA 90045-3508 Ph: (424) 750-9789 |
| NPI Number | 1063779304 |
|---|---|
| Provider Enumeration Date | 04/11/2012 |
| Last Update Date | 10/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063779304 | NPI | - | NPPES |
| 6509 | Other | CA | NURSE PRACTITONER LICENSE NUMBER |
| 6287 | Other | CA | NURSE PRACTITONER LICENSE NUMBER |
| 21119 | Other | CA | NURSE PRACTITONER LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6287 (California) | Secondary |
| 261Q00000X | Clinic/center | 6509 (California) | Secondary |
| 261Q00000X | Clinic/center | 21119 (California) | Primary |
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