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Organization

ALANI HEALTH & WELLNESS CENTER A NURSING CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN LARITA SCHMIDT OLAIVAR ADULT NP & WHNP (CEO AND CFO)
(310) 962-0035
Entity
Organization

Contact information

Practice address
7121 W MANCHESTER AVE, LOS ANGELES, CA 90045-3508
(424) 750-9789
(424) 750-9791
Mailing address
7121 W MANCHESTER AVE, LOS ANGELES, CA 90045-3508
(424) 750-9789
(424) 750-9791

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
21119
CA
261Q00000X
Clinic/Center
6287
CA
261Q00000X
Clinic/Center
6509
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21119
NURSE PRACTITONER LICENSE NUMBER
CA
01
6287
NURSE PRACTITONER LICENSE NUMBER
CA
01
6509
NURSE PRACTITONER LICENSE NUMBER
CA
Enumeration date
04/11/2012
Last updated
10/21/2014
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