COACHING 4 LIFE LLC NPI 1245609700

NPI Information

  • NPI: 1245609700
  • Provider Name: COACHING 4 LIFE LLC
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 31241 CASERA CT
    MENIFEE, CA
    ZIP 92584
  • Phone: (619) 327-9144

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NPI Details

COACHING 4 LIFE LLC is a point of service in Menifee, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. COACHING 4 LIFE LLC NPI is 1245609700. The provider is registered as an organization entity type.

The provider's business location address is:

31241 CASERA CT
MENIFEE, CA
ZIP 92584-291
Phone: (619) 327-9144

The provider's authorized official is Shevonte Long .
The authorized official title is Owner and has the following contact phone number (619) 928-4299.

The enumeration date for this NPI number is 9/15/2015 and was last updated on 9/15/2015.

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
1302F00000XExclusive Provider OrganizationNo
2302R00000XHealth Maintenance OrganizationNo
3305R00000XPreferred Provider OrganizationNo
4305S00000XPoint of ServiceYes

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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