WE LEVEL UP CALIFORNIA LLC NPI 1205593498

NPI Information

  • NPI: 1205593498
  • Provider Name: WE LEVEL UP CALIFORNIA LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 05D2275967
  • Address: 31631 AUTO CENTER DR
    LAKE ELSINORE, CA
    ZIP 92530
  • Phone: (561) 222-1719

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NPI Details

WE LEVEL UP CALIFORNIA LLC is a rehabilitation and substance use disorder clinic center in Lake Elsinore, CA. WE LEVEL UP CALIFORNIA LLC NPI is 1205593498. The provider is registered as an organization entity type.

The provider's business location address is:

31631 AUTO CENTER DR
LAKE ELSINORE, CA
ZIP 92530-523
Phone: (561) 222-1719

The provider's authorized official is Alexandra Korotkevich .
The authorized official title is Chief Executive Officer and has the following contact phone number (561) 222-1719.

The CLIA number assigned to this NPI record is 05D2275967 - other - subst abuse treat with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2021 and was last updated on 11/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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