Organization Active NPI

Stretchx LLC

  • Health Service Clinic/Center
  • Redlands, CA
National Provider Identifier
1558086017
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
STRETCHX LLC
Practice address
101 E Redlands Blvd Ste 170N
Redlands, CA 92373-4700
Phone
(800) 566-0597
NPI assigned
Oct 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Authorized official

Name
Mr. Lance Evbuomwan
Title
Ceo
Phone
(909) 890-6539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

101 E Redlands Blvd Ste 170N
Redlands, CA 92373-4700

Mailing address

204 Amber CT
Redlands, CA 92374-4274
Phone (909) 890-6539

National Provider Directory

National Provider Directory

Locations

101 E Redlands Blvd
Ste 170N
Redlands, CA 92373
Phone (800) 566-0597

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735344000000",
    "number": "1558086017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 AMBER CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744274",
            "telephone_number": "909-890-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD STE 170N",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734700",
            "telephone_number": "800-566-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRETCHX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "EVBUOMWAN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-890-6539",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; 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.