Healthcare Provider Details

I. General information

NPI: 1871430223
Provider Name (Legal Business Name): AIRA WELLNESS ALLIANCE, A NURSING PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 LAFAYETTE CT
MANHATTAN BEACH CA
90266-7212
US

IV. Provider business mailing address

19 LAFAYETTE CT
MANHATTAN BEACH CA
90266-7212
US

V. Phone/Fax

Practice location:
  • Phone: 310-426-4188
  • Fax:
Mailing address:
  • Phone: 310-426-4188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. SARA COPPERMAN
Title or Position: OWNER / PSYCHIATRIC NURSE PRACTITIO
Credential: PMHNP-BC
Phone: 310-426-4188