MEDICARE: YOUTH EMPOWERMENTS FINEST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1376381798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUTH EMPOWERMENTS FINEST

Provider Business Mailing Address
First Line	:	4660 EL CAJON BLVD STE 205
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-4468
Country	:	US
Telephone Number	:	619-884-0232
Fax Number	:

Provider Business Practice Location Address
First Line	:	4660 EL CAJON BLVD STE 205
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-4468
Country	:	US
Telephone Number	:	619-884-0232
Fax Number	:

Authorized Official
Title or Position	:	CAO
Name	:	RACHEL WALES
Credential	:
Telephone Number	:	619-884-0232

Provider Enumeration Date	:	07/18/2024
Last Update Date	:	07/18/2024

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