Provider Demographics
NPI:1457827578
Name:HEALTH FOR LIFE, INC
Entity Type:Organization
Organization Name:HEALTH FOR LIFE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOULATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-981-9299
Mailing Address - Street 1:633 AERICK ST STE 125
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-1902
Mailing Address - Country:US
Mailing Address - Phone:310-981-9299
Mailing Address - Fax:
Practice Address - Street 1:633 AERICK ST STE 125
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1902
Practice Address - Country:US
Practice Address - Phone:310-981-9299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty