Healthcare Provider Details

I. General information

NPI: 1306756945
Provider Name (Legal Business Name): WELLNESS PROMOTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4096 E LILY PASEO UNIT 102
ONTARIO CA
91761
US

IV. Provider business mailing address

1556 FITZGERALD DR # 171
PINOLE CA
94564-2229
US

V. Phone/Fax

Practice location:
  • Phone: 619-319-1430
  • Fax:
Mailing address:
  • Phone: 619-319-1430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: DR. UZOAMAKA NWANKPA
Title or Position: NURSE LEAD
Credential: DNP, MSN, RN
Phone: 619-319-1430