Healthcare Provider Details

I. General information

NPI: 1063340339
Provider Name (Legal Business Name): HEALTHRIGHT 360
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9124 S WESTERN AVE
LOS ANGELES CA
90047-3518
US

IV. Provider business mailing address

1563 MISSION STREET 2ND FLOOR MAIL ROOM
SAN FRANCISCO CA
94103
US

V. Phone/Fax

Practice location:
  • Phone: 213-325-6077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. ATHILA LAMBINO
Title or Position: DIRECTOR OF LIC & CERTIFICATION
Credential:
Phone: 415-912-0605