Organization Active NPI

Ohana Wellness Center

  • Physical Therapy Clinic/Center
  • Carson, CA
National Provider Identifier
1740554179
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 19284 Issued in CA
Legal business name
OHANA WELLNESS CENTER
Practice address
441 E Carson St Ste L
Carson, CA 90745-7714
Phone
(310) 630-1766
Fax
(310) 930-1786
NPI assigned
Mar 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Ms. Victoria Abeleda Allen
Title
Administrative Personel
Phone
(714) 651-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 19284 CA Primary

Addresses

Primary practice location

441 E Carson St Ste L
Carson, CA 90745-7714

Mailing address

441 E Carson St Ste L
Carson, CA 90745-7714
Phone (310) 630-1766

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1740554179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E CARSON ST STE L",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457714",
            "telephone_number": "310-630-1766",
            "fax_number": "310-930-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E CARSON ST STE L",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457714",
            "telephone_number": "310-630-1766",
            "fax_number": "310-930-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ABELEDA",
        "authorized_official_title_or_position": "ADMINISTRATIVE PERSONEL",
        "authorized_official_telephone_number": "714-651-1717",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 19284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.