Healthcare Provider Details

I. General information

NPI: 1609509207
Provider Name (Legal Business Name): WELLNESS ESSENTIALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15853 MONTE ST STE 102B
SYLMAR CA
91342-7671
US

IV. Provider business mailing address

5404 WHITSETT AVE # 68
VALLEY VILLAGE CA
91607-1615
US

V. Phone/Fax

Practice location:
  • Phone: 702-462-2458
  • Fax:
Mailing address:
  • Phone: 702-462-2458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DEENA C KAY
Title or Position: OWNER
Credential:
Phone: 818-749-9683