Organization Active NPI

Anda'S Wellness LLC

  • Athletic Trainer
  • Colton, CA
National Provider Identifier
1174084164
Registry record updated Mar 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Legal business name
ANDA'S WELLNESS LLC
Practice address
1286 Mohave Dr
Colton, CA 92324-4755
Phone
(323) 510-7108
NPI assigned
Mar 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anda Leonard
Title
Owner
Phone
(323) 510-7108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X Primary

Addresses

Primary practice location

1286 Mohave Dr
Colton, CA 92324-4755

Mailing address

1976 S la Cienega Blvd # C-769
Los Angeles, CA 90034-1627
Phone (323) 510-7108

National Provider Directory

National Provider Directory

Locations

1976 S La Cienega Blvd
#C769
Los Angeles, CA 90034

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553990400000",
    "number": "1174084164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 S LA CIENEGA BLVD # C-769",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900341627",
            "telephone_number": "323-510-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 MOHAVE DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244755",
            "telephone_number": "323-510-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDA'S WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-03-31",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "ANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-510-7108"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.