Monarch Wellness Group

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MONARCH WELLNESS GROUP

Practice address

3122 Santa Monica Blvd
Suite 102
Santa Monica, CA 90404-2533

Phone

(424) 610-6814

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Diedra Manns, DPT

Title

President

Phone

(424) 610-6814

Specialties & licenses 1

Addresses

Other names 1

• MONARCH WELLNESS INC Doing business as

Locations

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1821539677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 SANTA MONICA BLVD",
            "address_2": "SUITE 106570",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252276",
            "telephone_number": "424-610-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 SANTA MONICA BLVD",
            "address_2": "SUITE 102",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042533",
            "telephone_number": "424-610-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "MANNS",
        "authorized_official_first_name": "DIEDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-610-6814",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONARCH WELLNESS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carla Rene Monroe
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• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.