# HEARTSTONE CA HEALTH PROVIDER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1386529469
- **Authorized official:** MR. NATHANIEL RANCE PENA (CO-OWNER)
- **Authorized official phone:** (818) 927-9576

## Contact information

- **Practice address:** 3111 LOS FELIZ BLVD STE 210, LOS ANGELES, CA 90039-1585
- **Practice address phone:** (415) 425-0684
- **Mailing address:** 3111 LOS FELIZ BLVD STE 210, LOS ANGELES, CA 90039-1585
- **Mailing address phone:** (415) 425-0684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2025
- **Last updated:** 08/13/2025