# A WHOLE NEW YOU, LLC

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

## Provider details

- **NPI number:** 1881327302
- **Authorized official:** MRS. LYNN GONZALEZ (CEO)
- **Authorized official phone:** (626) 267-2579

## Contact information

- **Practice address:** 3443 ARDILLA AVE, BALDWIN PARK, CA 91706-5502
- **Practice address phone:** (626) 267-2579
- **Mailing address:** 170 E COLLEGE ST UNIT 204, COVINA, CA 91723-7008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2022
- **Last updated:** 07/01/2022
