Organization
INTEGRAL WELLNESS BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN DEVINE (MANAGER)
(818) 308-0184
Entity
Organization
Contact information
Practice address
15685 HAWTHORNE BLVD STE H, LAWNDALE, CA 90260-3912
(818) 308-0184
Mailing address
28201 FRANKLIN PKWY UNIT 27, SANTA CLARITA, CA 91310-7002
(818) 308-0184
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up