Aeris Mobile Wellness LLC
Clinic/Center, Medical Specialty in Van Nuys, CA. Organization (NPI-2).
NPI number1740178953
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1740178953
- Entity type
- Organization (NPI-2)
- Legal business name
- Aeris Mobile Wellness LLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2025
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
15060 Victory Blvd Unit 204Van Nuys, CA 91411-1829
Phone 805-552-6753
Mailing address
6221 Van Nuys Blvd # 659Van Nuys, CA 91401-2710
Phone 805-552-6753
Authorized official
Elena Gonzalez
Owner
8189191666
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