Active NPI
Anda'S Wellness LLC
- Athletic Trainer
- Colton, CA
National Provider Identifier
1174084164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 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 DirectoryLocations
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.