2020 Vision Youth
Organization Active NPI Health & Wellness Coach · La Mirada, CA
NPI 1750147120 · NPPES record last updated Feb 28, 2026
Key facts
- NPI
- 1750147120
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health & Wellness Coach 171400000X
- Legal business name
- 2020 VISION YOUTH
- Practice address
- 14241 Firestone Blvd Ste 225
La Mirada, CA 90638-5533 - Phone
- (213) 691-2522
- NPI assigned
- Feb 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Cory Hollaman
- Title
- Chief Excutive Officer
- Phone
- (909) 486-8690
Practitioners 14
National Provider Directory
Locations
14241 Firestone Blvd
Ste 225
La Mirada, CA 90638
Phone (213) 691-2522
967 Kendall Dr
Ste 332
San Bernardino, CA 92407
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | |||
| Health & Wellness Coach |
171400000X | Yes | ||
| Case Manager/Care Coordinator |
171M00000X | |||
| Community Health Worker |
172V00000X |
Addresses
Primary practice location
14241 Firestone Blvd Ste 225
La Mirada, CA 90638-5533
Mailing address
967 Kendall Dr Ste 332
San Bernardino, CA 92407-4306
Other practice location 1
330 N D St Ste 320
San Bernardino, CA 92401-1545
Phone (909) 893-2782
Other providers in La Mirada, CA
All providers in La Mirada, CA · Health & Wellness Coach in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.