NPIMap

Organization Active NPI

PCH Wellness Center, Inc.

  • Pain Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1922884907
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PCH WELLNESS CENTER, INC.
Practice address
12732 W Washington Blvd Ste C
Los Angeles, CA 90066-2378
Phone
(310) 463-3347
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Chauchabar BruhwilerNPI 1659031474
Title
Ceo
Phone
(310) 463-3347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

12732 W Washington Blvd Ste C
Los Angeles, CA 90066-2378

Mailing address

2400 Walnut Ave Apt 6
Venice, CA 90291-5956
Phone (310) 463-3347

Other names 1

  • PCH Wellness Center, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

12732 W Washington Blvd
Ste C
Los Angeles, CA 90066
Phone (310) 463-3347

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1922884907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WALNUT AVE APT 6",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902915956",
            "telephone_number": "310-463-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12732 W WASHINGTON BLVD STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662378",
            "telephone_number": "310-463-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCH WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "BRUHWILER",
        "authorized_official_first_name": "CHAUCHABAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-463-3347"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCH Wellness Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 5, 2023; 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.