# THRIVELAB CO.

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

## Provider details

- **NPI number:** 1720702491
- **Authorized official:** JOSHUA P HOST (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (949) 282-7260

## Contact information

- **Practice address:** 2719 S EL CAMINO REAL, SAN CLEMENTE, CA 92672-3354
- **Practice address phone:** (737) 377-1600
- **Practice address fax:** (949) 569-1295
- **Mailing address:** 2654 W HORIZON RIDGE PKWY, STE. B5, PMB 1132, HENDERSON, NV 89052-2858
- **Mailing address fax:** (949) 569-1295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2022
- **Last updated:** 09/27/2022