Organization
LIFELINE WALK IN MEDICAL & MENTAL HEALTH NURSING CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANULIKA CHILAKA (OWNER)
(310) 736-2517
Entity
Organization
Contact information
Practice address
3535 TORRANCE BLVD STE 13, TORRANCE, CA 90503-4815
(310) 736-2517
Mailing address
3535 TORRANCE BLVD STE 13, TORRANCE, CA 90503-4815
(310) 736-2517
(855) 576-3356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679140644
PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
CA
01
—
1720410202
FAMILY
CA
Enumeration date
06/22/2024
Last updated
04/08/2026
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