New Moon Wellness Inc.

LBN: New Moon Wellness Inc.
New Moon Wellness Inc. is an health care organization with primary practice located at 16661 Ventura Blvd Ste 400 , Encino CA 91436-1925. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. New Moon Wellness Inc. can be contacted via phone (818) 579-2258, or through Madriz, Natalie via phone (818) 579-2258.

Contact Information

Primary practice address
16661 Ventura Blvd Ste 400 Encino CA 91436-1925
Fax:
Website:
Authorized official contact:
Name: Madriz, Natalie

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1164074902
LBN Legal business name New Moon Wellness Inc.
DBA Doing business as
Authorized official Madriz, Natalie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2019
Last updated Jul 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164074902 NPPES
California Other 1669772166 MEDI-CAL

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