RISE OF THE PHOENIX WHOLE HEALTH CENTER (NPI# 1831718022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831718022 |
| Entity Type | Organization |
| Organization Name | RISE OF THE PHOENIX WHOLE HEALTH CENTER |
| Practice Address |
1703 N Avalon Blvd Wilmington CA 90744-1432 |
| Mailing Address |
810 Cooper Ave Los Angeles CA 90042-1516 |
| Practice Telephone | 8054051250 |
| Mailing Telephone | 8054051250 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | DR. DIANA ROMAN (OWNER) |
| Authorized Official Telephone | 8054051250 |
| Authorized Official Credential | L.AC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Center Of Balanced Health | Doing Business As Name - Organization |
| Highland Park Wellness Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 810 Cooper Ave, Los Angeles, CA 900421516 | 8054051250 |
| Street Address |
1703 N AVALON BLVD |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447616198 | Beverly Hills Wellness Physicians Corp | Pharmacy | 1703 N Avalon Blvd, Wilmington, CA 90744-1432 | 2016-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316418999 | Ying Liu Ko | Acupuncturist | 2300 Pennsylvania Ave Ste 5b, Wilmington, DE 19806-1305 | 2018-12-07 |
| 1457843468 | Gilda Joy Hunt | Acupuncturist | 4039 Masonboro Loop Rd Ste 1d, Wilmington, NC 28409-3657 | 2018-06-05 |
| 1154833598 | Coastal Acupuncture, Inc. | Acupuncturist | 108 N Kerr Ave Ste D6, Wilmington, NC 28405-3439 | 2017-10-25 |
| 1245773944 | Oceana Acupuncture & Wellness Clinic | Acupuncturist | 2030 Eastwood Rd # Suitle3, Wilmington, NC 28403-7212 | 2016-11-29 |
| 1669925418 | Gretchen Rivas | Acupuncturist | 4004 Oleander Dr, Suite 101, Wilmington, NC 28403-6853 | 2016-07-28 |
| 1952764961 | Duc Tran | Acupuncturist | 531 N Avalon Blvd, Wilmington, CA 90744-5805 | 2016-03-29 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1437431384 | Alan Tillotson | Acupuncturist | 1008 Milltown Rd, Wilmington, DE 19808-2235 | 2011-09-16 |
| 1174851406 | Jennifer Baust | Acupuncturist | 1824 N Scott St, Wilmington, DE 19806-2318 | 2009-11-24 |
| 1255569109 | Diane Marie Gobrogge | Acupuncturist | 108 North Kerr, Suite D-6, Wilmington, NC 28405 | 2009-06-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
Please comment or provide details below to improve the information on RISE OF THE PHOENIX WHOLE HEALTH CENTER.
| 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.