Healthcare Provider Details

I. General information

NPI: 1508655275
Provider Name (Legal Business Name): AKAHINA WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25114 JEFFERSON AVE STE A
MURRIETA CA
92562-1701
US

IV. Provider business mailing address

25114 JEFFERSON AVE STE A
MURRIETA CA
92562-1701
US

V. Phone/Fax

Practice location:
  • Phone: 951-249-9026
  • Fax:
Mailing address:
  • Phone: 951-249-9026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: SANDRA PATRICIA ALVAREZ
Title or Position: CFO
Credential:
Phone: 818-636-0907