Active NPI
Infinity Wellness Institute Inc
- Internal Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INFINITY WELLNESS INSTITUTE INC
- Practice address
- 10780 Santa Monica Blvd Ste 350
Los Angeles, CA 90025-4779 - Phone
- (714) 366-5066
- NPI assigned
- Jul 10, 2020
- 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
- Dr. Isabella Lai, MD
- Title
- President
- Phone
- (714) 366-5066
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Registered Dietitian | 133V00000X | |||
| Acupuncturist | 171100000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
10780 Santa Monica Blvd Ste 350
Los Angeles, CA 90025-4779
Mailing address
10780 Santa Monica Blvd Ste 350
Los Angeles, CA 90025-4779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200714003140 | CA | Part B Supplier - Clinic/Group Practice | 2961825575 |
Receives reassigned benefits from 1 practitioner Practice locations: Los Angeles, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Cardiac Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1366297780
2961825575
National Provider Directory
National Provider Directory- Tax ID family
- Infinity Wellness Institute Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiac Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1366297780
Locations
1561 Westwood Blvd
Los Angeles, CA 90024
Phone (323) 736-0096
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Cardiac Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1366297780
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1396363941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD STE 350",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD STE 350",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254779",
"telephone_number": "714-366-5066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITY WELLNESS INSTITUTE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-10",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "LAI",
"authorized_official_first_name": "ISABELLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-366-5066",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Infinity Home Health Service, Inc
- Infinity International Group of America (Infinity Med Transport)
- Infinity Optometry
- Infinity Summer Nursing Services Inc
- Infinity Wellness Institute Inc
- Infucare Medical Group of California Inc (ClinIVoy Infusion Care)
- Brandon Isao Yi Chiang Ing
- Jakun Willard Ing, M.D., M.P.H.
- Madeleine Ing
- Nishka Kiran Ingale
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.