MEDICARE: THE COOL OFF WELLNESS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2083P0901X	Public Health & General Preventive Medicine Physician
2	133N00000X	Nutritionist
3	261Q00000X	Clinic/Center
4	103TC1900X	Counseling Psychologist
5	207RA0201X	Allergy & Immunology (Internal Medicine) Physician

General Provider Information

NPI Number	:	1548124795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE COOL OFF WELLNESS INC

Provider Business Mailing Address
First Line	:	11621 HALAWA LN
Second Line	:
City	:	CYPRESS
State	:	CA
Zip	:	90630-5708
Country	:	US
Telephone Number	:	562-370-5523
Fax Number	:

Provider Business Practice Location Address
First Line	:	11621 HALAWA LN
Second Line	:
City	:	CYPRESS
State	:	CA
Zip	:	90630-5708
Country	:	US
Telephone Number	:	562-370-5523
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	CHARLENE CHANDLER
Credential	:
Telephone Number	:	562-370-5523

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	06/16/2026

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Directions to “THE COOL OFF WELLNESS INC ” Practice Location

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