# LIFELINE WALK IN MEDICAL & MENTAL HEALTH NURSING CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134963309
- **Authorized official:** ANULIKA CHILAKA (OWNER)
- **Authorized official phone:** (310) 736-2517

## Contact information

- **Practice address:** 3535 TORRANCE BLVD STE 13, TORRANCE, CA 90503-4815
- **Practice address phone:** (310) 736-2517
- **Mailing address:** 3535 TORRANCE BLVD STE 13, TORRANCE, CA 90503-4815
- **Mailing address phone:** (310) 736-2517
- **Mailing address fax:** (855) 576-3356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2024
- **Last updated:** 04/08/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1679140644 | PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER | CA |
| 01 | — | 1720410202 | FAMILY | CA |