Elemental Living Ca LLC
Organization Active NPI Family Medicine Physician · Anza, CA
NPI 1134086739 · NPPES record last updated Jan 6, 2026
Key facts
- NPI
- 1134086739
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ELEMENTAL LIVING CA LLC
- Practice address
- 56553 Highway 371 Suite B1
Anza, CA 92539 - Phone
- (954) 231-5484
- Fax
- (239) 379-4385
- NPI assigned
- Jan 6, 2026
- Organization subpart
- No
Authorized official
- Name
- Abbey Hernandez, DC
- Title
- Ceo
- Phone
- (714) 326-7647
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
56553 Highway 371 Suite B1
Anza, CA 92539
Mailing address
301 Almeria Ave Ste 240
Coral Gables, FL 33134-5822
Other providers in Anza, CA
- Anza Medical Center
- Jennifer Ann Conrad
- Susan Crane
- Dap Health, Inc.
- Dap Health, Inc.
- Lawrence Gordon Foster
- Linda Hardee
- Monique A Lopez
- Barbara Jeanne May
- Colleen Ann Murray
All providers in Anza, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.