MEDICARE: INDIGENOUS HEALTHCARE ADVANCEMENTS, LLC

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	:	1861348898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDIGENOUS HEALTHCARE ADVANCEMENTS, LLC

Provider Business Mailing Address
First Line	:	1711 W TEMPLE ST STE 3036
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-7335
Country	:	US
Telephone Number	:	213-989-6114
Fax Number	:	213-484-3552

Provider Business Practice Location Address
First Line	:	1711 W TEMPLE ST STE 3036
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-7335
Country	:	US
Telephone Number	:	213-989-6114
Fax Number	:	213-484-3552

Authorized Official
Title or Position	:	MANAGER
Name	:	PUI REEVES
Credential	:
Telephone Number	:	808-214-7269

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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