Healthcare Provider Details

I. General information

NPI: 1871416768
Provider Name (Legal Business Name): LEIHA NORIEGA NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELLIE NORIEGA NBC-HWC

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4231 BALBOA AVE # 773
SAN DIEGO CA
92117-5504
US

IV. Provider business mailing address

4231 BALBOA AVE # 773
SAN DIEGO CA
92117-5504
US

V. Phone/Fax

Practice location:
  • Phone: 858-247-3222
  • Fax:
Mailing address:
  • Phone: 858-247-3222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: