Provider Demographics
NPI:1659704948
Name:CHILDREN'S TOTAL WELLNESS, INC.
Entity Type:Organization
Organization Name:CHILDREN'S TOTAL WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:ELVIRA
Authorized Official - Last Name:PINZON-ARELLANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-660-0928
Mailing Address - Street 1:1459 E THOUSAND OAKS BLVD STE H1
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-2806
Mailing Address - Country:US
Mailing Address - Phone:805-660-0928
Mailing Address - Fax:
Practice Address - Street 1:1600 RAMONA DR
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-3459
Practice Address - Country:US
Practice Address - Phone:805-660-0928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63249261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1255445037OtherNPI #1