Active NPI
Cabana Wellness, Inc.
- Health Service Clinic/Center
- Los Angeles, CA
National Provider Identifier
1720973225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- CABANA WELLNESS, INC.
- Practice address
- 2346 Westwood Blvd Ste 5
Los Angeles, CA 90064-2125 - Phone
- (408) 394-5435
- NPI assigned
- Jun 12, 2025
- 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
- Mr. Justin Cabana
- Title
- Chief Executive Officer
- Phone
- (408) 394-5435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
2346 Westwood Blvd Ste 5
Los Angeles, CA 90064-2125
Mailing address
11301 W Olympic Blvd # 121364
Los Angeles, CA 90064-1653
Phone (408) 394-5435
National Provider Directory
National Provider DirectoryLocations
11301 W Olympic Blvd
#121364
Los Angeles, CA 90064
2346 Westwood Blvd
Ste 5
Los Angeles, CA 90064
Phone (408) 394-5435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749686400000",
"number": "1720973225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 W OLYMPIC BLVD # 121364",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641653",
"telephone_number": "408-394-5435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2346 WESTWOOD BLVD STE 5",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642125",
"telephone_number": "408-394-5435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CABANA WELLNESS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-12",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A",
"authorized_official_last_name": "CABANA",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "408-394-5435",
"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 Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.