# WELLNESS MOBILE CLINIC

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

## Provider details

- **NPI number:** 1376378810
- **Authorized official:** ANGIE TRIAS SANCHEZ MD (PRESIDENT & CEO)
- **Authorized official phone:** (323) 899-9450

## Contact information

- **Practice address:** 21241 VENTURA BLVD STE 259, WOODLAND HILLS, CA 91364-2186
- **Practice address phone:** (323) 899-9450
- **Mailing address:** 25044 PEACHLAND AVE STE 110, SANTA CLARITA, CA 91321-5730
- **Mailing address phone:** (844) 960-2673
- **Mailing address fax:** (818) 356-4380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2024
- **Last updated:** 09/04/2024