MEDICARE: AIRA WELLNESS ALLIANCE, A NURSING PROFESSIONAL CORPORATION

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1871430223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIRA WELLNESS ALLIANCE, A NURSING PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	19 LAFAYETTE CT
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-7212
Country	:	US
Telephone Number	:	310-426-4188
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 LAFAYETTE CT
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-7212
Country	:	US
Telephone Number	:	310-426-4188
Fax Number	:

Authorized Official
Title or Position	:	OWNER / PSYCHIATRIC NURSE PRACTITIO
Name	:	MS. SARA COPPERMAN
Credential	:	PMHNP-BC
Telephone Number	:	310-426-4188

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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