Wise &Healthy Aging

LBN: Wise &Healthy Aging
Wise &Healthy Aging is an health care organization with primary practice located at 1527 4Th St 3Rd Floor, Santa Monica CA 90401-2358. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Wise &Healthy Aging can be contacted via phone (310) 394-9871, or through Braun, Grace Cheng via phone (310) 394-9871.

Contact Information

Primary practice address
1527 4Th St 3Rd Floor Santa Monica CA 90401-2358
Fax: (310) 576-2499
Website:
Authorized official contact:
Name: Braun, Grace Cheng

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1134399165
LBN Legal business name Wise &Healthy Aging
DBA Doing business as
Authorized official Braun, Grace Cheng
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2008
Last updated Sep 17th, 2013 - about 11 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 1134399165 NPPES
California Other W13662 MEDICARE PROVIDER NUMBER

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