DIVINE HOLISTIC CARE INC NPI 1225815921

NPI Information

  • NPI: 1225815921
  • Provider Name: DIVINE HOLISTIC CARE INC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 13532 1/2 CHADRON AVE
    HAWTHORNE, CA
    ZIP 90250
  • Phone: (424) 200-9015

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NPI Details

DIVINE HOLISTIC CARE INC is a psychiatric/mental health nurse practitioner in Hawthorne, CA. DIVINE HOLISTIC CARE INC NPI is 1225815921. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13532 1/2 CHADRON AVE
HAWTHORNE, CA
ZIP 90250-822
Phone: (424) 200-9015
Fax: (855) 214-7520

The provider's authorized official is Henrietha Iwobi .
The authorized official title is Owner and has the following contact phone number (424) 200-9015.

The enumeration date for this NPI number is 9/14/2023 and was last updated on 9/14/2023.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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