Healthcare Provider Details

I. General information

NPI: 1912835653
Provider Name (Legal Business Name): ENERGY IS LIFE LOCAL ADVOCACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40275 VIA REATA
MURRIETA CA
92562-3911
US

IV. Provider business mailing address

40960 CALIFORNIA OAKS RD # 1013
MURRIETA CA
92562-5747
US

V. Phone/Fax

Practice location:
  • Phone: 215-617-0434
  • Fax:
Mailing address:
  • Phone: 215-617-0434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MRS. EBONY DROSTE
Title or Position: DIRECTOR
Credential:
Phone: 215-617-0434