Healthcare Provider Details

I. General information

NPI: 1558290932
Provider Name (Legal Business Name): NEW LVL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 5TH AVE STE 230
SAN DIEGO CA
92101-6108
US

IV. Provider business mailing address

852 5TH AVE STE 230
SAN DIEGO CA
92101-6108
US

V. Phone/Fax

Practice location:
  • Phone: 619-540-7481
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: BREANA BENFORD
Title or Position: FOUNDER & CEO
Credential:
Phone: 619-540-7481