Healthcare Provider Details

I. General information

NPI: 1518763275
Provider Name (Legal Business Name): AFYA INTEGRATED WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12614 LAMBERT RD
WHITTIER CA
90602-3213
US

IV. Provider business mailing address

13502 WHITTIER BLVD STE H
WHITTIER CA
90605-1944
US

V. Phone/Fax

Practice location:
  • Phone: 562-360-1071
  • Fax:
Mailing address:
  • Phone: 951-530-6388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: SHIRO N/A CHIRO
Title or Position: FOUNDER
Credential: DC
Phone: 951-530-6388