Provider Demographics
NPI:1366297780
Name:INFINITY WELLNESS INSTITUTE INC
Entity type:Organization
Organization Name:INFINITY WELLNESS INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISABELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-366-5066
Mailing Address - Street 1:10780 SANTA MONICA BLVD STE 350
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-4779
Mailing Address - Country:US
Mailing Address - Phone:424-274-1550
Mailing Address - Fax:920-352-4156
Practice Address - Street 1:10780 SANTA MONICA BLVD STE 350
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4779
Practice Address - Country:US
Practice Address - Phone:424-274-1550
Practice Address - Fax:920-352-4156
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INFINITY WELLNESS INSTITUTE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-19
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities
No163WC3500XNursing Service ProvidersRegistered NurseCardiac RehabilitationGroup - Single Specialty