Healthcare Provider Details
I. General information
NPI: 1093503625
Provider Name (Legal Business Name): AIYON SAIID PEOPLES-NEAL
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/25/2025
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4445 MAGNOLIA AVE
RIVERSIDE CA
92501-4135
US
IV. Provider business mailing address
4445 MAGNOLIA AVE
RIVERSIDE CA
92501-4135
US
V. Phone/Fax
- Phone: 786-929-8596
- Fax:
- Phone: 786-929-8596
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: