NPIMap

Organization Active NPI

Elite Health and Wellness, LLC

  • Chiropractor
  • La Quinta, CA
National Provider Identifier
1427368976
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30014 Issued in CA
Legal business name
ELITE HEALTH AND WELLNESS, LLC
Practice address
79245 Corporate Center Dr
Suite 100
La Quinta, CA 92253-7247
Phone
(760) 771-5450
Fax
(760) 771-5102
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Dr. Delos Soehren Jr., D.C.NPI 1619107927
Title
Vice President
Phone
(760) 771-5450

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 30014 CA Primary
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X RHC 166643 CA

Addresses

Primary practice location

79245 Corporate Center Dr
Suite 100
La Quinta, CA 92253-7247

Mailing address

79245 Corporate Center Dr
Suite 100
La Quinta, CA 92253-7247
Phone (760) 771-5450

Other names 1

  • Elite Health and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

79245 Corporate Center Dr
Ste 100
La Quinta, CA 92253
Phone (760) 564-4052

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.

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1427368976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79245 CORPORATE CENTER DR",
            "address_2": "SUITE 100",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537247",
            "telephone_number": "760-771-5450",
            "fax_number": "760-771-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79245 CORPORATE CENTER DR",
            "address_2": "SUITE 100",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537247",
            "telephone_number": "760-771-5450",
            "fax_number": "760-771-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "SOEHREN",
        "authorized_official_first_name": "DELOS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "760-771-5450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30014",
            "primary": true
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "CA",
            "license": "RHC 166643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.