SOURCE POINT WELLNESS NPI 1245610195

NPI Information

  • NPI: 1245610195
  • Provider Name: SOURCE POINT WELLNESS
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: AMANDA COHEN
  • Address: 3036 GLENDALE BLVD
    LOS ANGELES, CA
    ZIP 90039
  • Phone: (424) 835-0884

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NPI Details

SOURCE POINT WELLNESS is a primary care clinic center in Los Angeles, CA. SOURCE POINT WELLNESS NPI is 1245610195. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Amanda Cohen.

The provider's business location address is:

3036 GLENDALE BLVD
LOS ANGELES, CA
ZIP 90039
Phone: (424) 835-0884
Fax: (323) 978-5158

The provider's authorized official is Amanda Cohen .
The authorized official title is Doctor, Owner and has the following contact phone number (424) 835-0884.

The enumeration date for this NPI number is 6/5/2015 and was last updated on 6/26/2020.

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
1171100000XAcupuncturistNo
2208D00000XGeneral PracticeNo
3261QM2500XClinic/CenterMedical SpecialtyNo
4261QP2300XClinic/CenterPrimary CareYes

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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