Organization · NPI-2
2020 Vision Youth
Health & Wellness Coach · La Mirada, CA
NPI number1750147120
StatusActive
Last updated in NPPESFeb 28, 2026
Details
- NPI
- 1750147120
- Entity type
- Organization (NPI-2)
- Legal business name
- 2020 Vision Youth
- Organization subpart
- No
- Enumeration date
- Feb 23, 2024
- Certification date
- Feb 28, 2026
- Last updated
- Feb 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 163W00000X | Registered Nurse | – | – |
Practice location
14241 Firestone Blvd Ste 225La Mirada, CA 90638-5533
Phone 213-691-2522
Mailing address
967 Kendall Dr Ste 332San Bernardino, CA 92407-4306
Other practice locations
330 N D St Ste 320
San Bernardino, CA 92401-1545
San Bernardino, CA 92401-1545
Phone 909-893-2782
Authorized official
Cory Hollaman
Chief Excutive Officer
9094868690
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