Healthcare Provider Details

I. General information

NPI: 1992635817
Provider Name (Legal Business Name): ASAP WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17412 LAHEY ST.
GRANADA HILLS CA
91344
US

IV. Provider business mailing address

17412 LAHEY ST.
GRANADA HILLS CA
91344
US

V. Phone/Fax

Practice location:
  • Phone: 818-201-0189
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAY ARACKAL KRISHNAN
Title or Position: OWNER
Credential: MD
Phone: 818-201-0189