Provider Demographics
NPI:1942820139
Name:KLEER HEALTH TECHNOLOGIES
Entity Type:Organization
Organization Name:KLEER HEALTH TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JD
Authorized Official - Middle Name:
Authorized Official - Last Name:MEINTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-492-1118
Mailing Address - Street 1:4774 PARK GRANADA UNIT 8101
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91372-7007
Mailing Address - Country:US
Mailing Address - Phone:818-492-1118
Mailing Address - Fax:818-492-1118
Practice Address - Street 1:24969 MULHOLLAND HWY
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-2366
Practice Address - Country:US
Practice Address - Phone:818-492-1118
Practice Address - Fax:818-492-1118
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NULIFE WELLNESS GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty