SOURCE POINT WELLNESS (NPI# 1245610195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245610195 |
| Entity Type | Organization |
| Organization Name | SOURCE POINT WELLNESS |
| Other Organization Name | AMANDA COHEN |
| Practice Address |
3036 Glendale Blvd Los Angeles CA 90039 |
| Practice Telephone | 4248350884 |
| Practice Fax Number | 3239785158 |
| Mailing Telephone | 4248350884 |
| Mailing Fax Number | 3239785158 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | DR. AMANDA COHEN (DOCTOR, OWNER) |
| Authorized Official Telephone | 4248350884 |
| Authorized Official Credential | DAOM, L.A.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Amanda Cohen | Doing Business As Name - Organization |
| Amanda Cohen L.Ac. | Former Legal Business Name - Organization |
| Street Address |
3036 GLENDALE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093942716 | Valerie Marianne Phillips | Naturopath | 3036 Glendale Blvd, Los Angeles, CA 90039-1804 | 2009-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891298642 | Shlomit Yelin-arber | Marriage & Family Therapist | 3401 Glendale Blvd Rm 2, Los Angeles, CA 90039 | 2018-03-16 |
| 1306385646 | Robert Dao | Pharmacist | 11115 S Main St, Los Angeles, Ca, Los Angeles, CA 90039 | 2017-02-20 |
| 1528437951 | Marcos Farias | Licensed Vocational Nurse | 3108 Hollydale Drive Apt 102, Los Angeles, CA 90039 | 2015-09-16 |
| 1578962312 | Alexandria Trubatisky | Nurse Practitioner | 3026 Casitas Ave, Los Angeles, CA 90039 | 2014-08-18 |
| 1780003350 | Amanda Cohen | Acupuncturist | 3036 Glendale Blvd., Los Angeles, CA 90039 | 2014-04-10 |
| 1710231568 | Alan Russell Hedman | Counselor | 3352 Larga Ave, Los Angeles, CA 90039 | 2012-11-01 |
| 1427317486 | Christopher Peabody | Emergency Medicine | 1200 North State Street Room 1011, Los Angeles, CA 90039 | 2012-05-11 |
| 1447529359 | Janein Chavez | Marriage & Family Therapist | 3111 Los Feliz Blvd Ste 205, Los Angeles, CA 90039 | 2011-12-21 |
| 1265727358 | Erzsebet Olah | Licensed Vocational Nurse | 2586 Lake-view Ave, Los Angeles, CA 90039 | 2011-06-16 |
| 1750691168 | Sharon Furman | Specialist | 3147 Glenmanor Place, 145d, Los Angeles, CA 90039 | 2010-10-19 |
| Find all providers in zip 90039 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407468507 | County of Los Angeles | Clinic/Center | 242 E 6th St, Los Angeles, CA 90014-2117 | 2020-08-19 |
| 1790308005 | Korean Health, Education, Information and Research Center | Clinic/Center | 621 S Virgil Ave Ste 401, Los Angeles, CA 90005-4040 | 2020-05-20 |
| 1598398539 | Eduard Dudukgian M.d., A Professional Co | Clinic/Center | 1300 N Vermont Ave Ste 601, Los Angeles, CA 90027-6088 | 2020-02-18 |
| 1225599178 | The Los Angeles Lgbt Center | Clinic/Center | 3055 Wilshire Blvd Ste 360, Los Angeles, CA 90010-1108 | 2019-03-25 |
| 1144791500 | Beverly Community Clinic | Clinic/Center | 2252 Beverly Blvd Ste 103, Los Angeles, CA 90057-2225 | 2018-12-11 |
| 1306320619 | Beverly Ob & Gyn Medical Center Inc. | Clinic/Center | 4620 Beverly Blvd Ste 101, Los Angeles, CA 90004-3102 | 2018-09-21 |
| 1376036178 | Rolando S. Mercader M.d. Inc. | Clinic/Center | 201 S Alvarado St Ste 600, Los Angeles, CA 90057-2386 | 2018-06-07 |
| 1669909958 | David Rekar Md, Inc | Clinic/Center | 866 N Vermont Ave Ste 3a, Los Angeles, CA 90029-3587 | 2017-05-17 |
| 1639604895 | Family Health Clinic Inc. | Clinic/Center | 133 S Vermont Ave, Los Angeles, CA 90004-5904 | 2017-04-25 |
| 1447618541 | Pc Medical Group Inc | Clinic/Center | 3663 W 6th St Ste 100, Los Angeles, CA 90020-3047 | 2016-02-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90039 |
Please comment or provide details below to improve the information on SOURCE POINT WELLNESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.