Healthcare Provider Details

I. General information

NPI: 1942198072
Provider Name (Legal Business Name): AJC INNOVATIVE CONSULTING FOR WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 E NAPLES PLZ STE 315
LONG BEACH CA
90803-5091
US

IV. Provider business mailing address

5855 E NAPLES PLZ STE 315
LONG BEACH CA
90803-5091
US

V. Phone/Fax

Practice location:
  • Phone: 562-480-3001
  • Fax: 562-245-8250
Mailing address:
  • Phone: 562-480-3001
  • Fax: 562-245-8250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANGELA JEANETH CASTELLANOS
Title or Position: OWNER / PRESIDENT / SECRETARY
Credential: LCSW
Phone: 564-480-3001