Healthcare Provider Details

I. General information

NPI: 1548124795
Provider Name (Legal Business Name): THE COOL OFF WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11621 HALAWA LN
CYPRESS CA
90630-5708
US

IV. Provider business mailing address

11621 HALAWA LN
CYPRESS CA
90630-5708
US

V. Phone/Fax

Practice location:
  • Phone: 562-370-5523
  • Fax:
Mailing address:
  • Phone: 562-370-5523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: CHARLENE CHANDLER
Title or Position: COO
Credential:
Phone: 562-370-5523