Provider Demographics
NPI:1164840971
Name:WESTLAKE WELLBEING PROPERTIES, LLC
Entity Type:Organization
Organization Name:WESTLAKE WELLBEING PROPERTIES, LLC
Other - Org Name:CALIFORNIA HEALTH & LONGEVITY INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEEHEY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:805-358-4236
Mailing Address - Street 1:2 DOLE DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-7300
Mailing Address - Country:US
Mailing Address - Phone:805-358-4236
Mailing Address - Fax:818-575-1427
Practice Address - Street 1:2 DOLE DR
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-7300
Practice Address - Country:US
Practice Address - Phone:805-358-4236
Practice Address - Fax:818-575-1427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA571199776261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health