Healthcare Provider Details

I. General information

NPI: 1508700675
Provider Name (Legal Business Name): WELLNESS GROUP OF CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6080 CENTER DR FL 6
LOS ANGELES CA
90045-9205
US

IV. Provider business mailing address

6080 CENTER DR FL 6
LOS ANGELES CA
90045-9205
US

V. Phone/Fax

Practice location:
  • Phone: 310-686-8284
  • Fax:
Mailing address:
  • Phone: 310-686-8284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. TYIES R BROWN
Title or Position: OWNER, PSYCHOTHERAPIST, LMFT
Credential: LMFT, PSYD
Phone: 310-686-8284