Porsha Brown

Individual provider Active NPI Health & Wellness Coach · San Bernardino, CA

NPI 1649025685 · NPPES record last updated Apr 23, 2024

Key facts

NPI
1649025685
Entity type
Individual (NPI type 1)
Primary specialty
Health & Wellness Coach 171400000X
Practice address
1906 Commercenter E Ste 210
San Bernardino, CA 92408-3424
Phone
(909) 893-2782
NPI assigned
Apr 23, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Vision Youth Health & Wellness Coach Current
since Apr 28, 2024
Accepting new patients

Locations

1906 Commercenter E
Ste 210
San Bernardino, CA 92408
Phone (909) 567-2575

967 Kendall Dr
Ste 332
San Bernardino, CA 92407

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Yes

Addresses

Primary practice location

1906 Commercenter E Ste 210
San Bernardino, CA 92408-3424

Mailing address

967 Kendall Dr Ste 332
San Bernardino, CA 92407-4306
Phone (909) 893-2782

Other providers in San Bernardino, CA

All providers in San Bernardino, CA · Health & Wellness Coach in California

Sources for this page

Verify at the official NPI Registry.