Healthcare Provider Details

I. General information

NPI: 1750169389
Provider Name (Legal Business Name): FITNESS COVERED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5815 W SUNSET BLVD STE 105
LOS ANGELES CA
90028-6481
US

IV. Provider business mailing address

5815 W SUNSET BLVD STE 105
LOS ANGELES CA
90028-6481
US

V. Phone/Fax

Practice location:
  • Phone: 310-999-3521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: LEV REYS
Title or Position: EMPLOYEE
Credential:
Phone: 310-738-1464