# PREVENTIVE HEALTH ESSENTIALS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREVENTIVE HEALTH ESSENTIALS INC
- **Other names:** Easy Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235294893
- **Legal business name:** PREVENTIVE HEALTH ESSENTIALS INC
- **Authorized official:** DR. MARTHA N MOZIA DNP,GNP/FNP, PMH-BC (CEO)
- **Authorized official phone:** 31053955722

## Contact information

- **Practice address:** 43875 WASHINGTON ST, SUITE \#C, PALM DESERT, CA 92211-8249
- **Practice address phone:** (951) 539-8984
- **Mailing address:** 1611 CRENSHAW BLVD, SUITE 224, TORRANCE, CA 90501-3123
- **Mailing address phone:** (310) 539-5722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 514131 | CA | — |
| 163WC0400X | Case Management Registered Nurse | 514131 | CA | — |
| 163WG0000X | General Practice Registered Nurse | 11282 | CA | — |
| 163WG0600X | Gerontology Registered Nurse | 514131 | CA | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 514131 | CA | — |
| 163WR0006X | Registered Nurse First Assistant | 514131 | CA | — |
| 171M00000X | Case Manager/Care Coordinator | 95090658 | CA | — |
| 363LG0600X | Gerontology Nurse Practitioner | G1112004 | CA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 11282 | CA | — |
| 364SC2300X | Chronic Care Clinical Nurse Specialist | 11282 | CA | — |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 12/19/2016