Healthcare Provider Details

I. General information

NPI: 1699692772
Provider Name (Legal Business Name): CHIN UP YOU GOT THIS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 S OLIVE ST APT 2317
LOS ANGELES CA
90012-4837
US

IV. Provider business mailing address

151 S OLIVE ST APT 2317
LOS ANGELES CA
90012-4837
US

V. Phone/Fax

Practice location:
  • Phone: 949-415-9333
  • Fax:
Mailing address:
  • Phone: 949-415-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: BRYAN KERNS
Title or Position: CCSO
Credential: J.D., D.P.M., M.ED.
Phone: 949-415-9333