Wellnest - Leimert Park
LBN: Wellnest Emotional Health & Wellness
Wellnest - Leimert Park is an health care organization with primary practice located at 4401 Crenshaw Blvd Ste 300 , Los Angeles CA 90043-1227. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Wellnest Emotional Health & Wellness can be contacted via phone (323) 290-8360, or through Hirsch Marin, Lisa via phone (323) 372-2400.
Contact Information
Primary practice address
4401 Crenshaw Blvd Ste 300
Los Angeles CA 90043-1227
Phone: (323) 290-8360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Agencies / Early Intervention Provider Agency | 252Y00000X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1639293574 |
|---|---|
| LBN Legal business name | Wellnest Emotional Health & Wellness |
| DBA Doing business as | Wellnest - Leimert Park |
| Authorized official | Hirsch Marin, Lisa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 17th, 2007 |
| Last updated | Oct 25th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639293574 | NPPES |
| California | MEDICAID | CT052192 |
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