# WORKSITE WELLNESS LA

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

## Provider details

- **NPI number:** 1861757585
- **Authorized official:** MR. LUIS PARDO (PRESIDENT/CEO)
- **Authorized official phone:** (323) 758-9480

## Contact information

- **Practice address:** 5955 S WESTERN AVE, LOS ANGELES, CA 90047-1124
- **Practice address phone:** (323) 758-9480
- **Practice address fax:** (323) 758-8348
- **Mailing address:** 5955 S WESTERN AVE, LOS ANGELES, CA 90047-1124
- **Mailing address phone:** (323) 758-9480
- **Mailing address fax:** (323) 758-8348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2012
- **Last updated:** 07/31/2012