Healthcare Provider Details

I. General information

NPI: 1891627931
Provider Name (Legal Business Name): HEAL LA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 N SEPULVEDA BLVD STE A
MANHATTAN BEACH CA
90266-2463
US

IV. Provider business mailing address

3201 N SEPULVEDA BLVD STE A
MANHATTAN BEACH CA
90266-2463
US

V. Phone/Fax

Practice location:
  • Phone: 310-910-1735
  • Fax:
Mailing address:
  • Phone: 310-910-1735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: BRENDA PERRY
Title or Position: CO-FOUNDER
Credential: PSYD, DAOM
Phone: 503-333-1837