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NPI 1124329131

NPI 1124329131 : ALLIANCE FOR WELLNESS, INC. : INGLEWOOD, CA

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General NPI Number Information
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    NPI Number           |    1124329131
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLIANCE FOR WELLNESS, INC. 
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Dates
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    Enumeration Date     |    11/07/2010
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    Last Update Date     |    10/20/2025
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Provider Practice Location Address
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    Address Line         |    501 E HARDY ST STE 425 
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    City                 |    INGLEWOOD
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    State                |    CA
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    Zip                  |    90301-4067
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    Country              |    US
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    Telephone            |    747-998-0387
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9250 RESEDA BLVD # 658 
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    City                 |    NORTHRIDGE
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    State                |    CA
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    Zip                  |    91324-3142
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    Country              |    US
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    Telephone            |    747-998-0387
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    Fax                  |    818-786-1271
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ANIL  SHARMA 
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    Credential           |    
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    Telephone            |    747-998-0387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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