WEA CA PC NPI 1699471482

NPI Information

NPI: 1699471482
Provider Name: WEA CA PC
Classification: Clinic/Center - 261QH0100X
Specialization: Health Service
Entity Type: Organization
:
CLIA Number: 32D2316305
Address: 969 E 12TH ST STE D
LOS ANGELES, CA
ZIP 90021
Phone: (408) 341-9606

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NPI Details

WEA CA PC is a health service clinic center in Los Angeles, CA. WEA CA PC NPI is 1699471482. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

969 E 12TH ST STE D
LOS ANGELES, CA
ZIP 90021-201
Phone: (408) 341-9606

The provider's authorized official is Tyler Evans .
The authorized official title is Ceo and has the following contact phone number (408) 341-9606.

The CLIA number assigned to this NPI record is 32D2316305 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2023 and was last updated on 8/25/2025.

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	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	207Q00000X	Family Medicine		No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM1300X	Clinic/Center	Multi-Specialty	No
5	261QP2300X	Clinic/Center	Primary Care	No
6	261QR0800X	Clinic/Center	Recovery Care	No
7	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
8	261QH0100X	Clinic/Center	Health Service	Yes

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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