Provider Demographics
NPI:1881407849
Name:VERUS WELLNESS LLC
Entity type:Organization
Organization Name:VERUS WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:I
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:949-438-0826
Mailing Address - Street 1:7521 EDINGER AVE UNIT 3209
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-0643
Mailing Address - Country:US
Mailing Address - Phone:949-438-0826
Mailing Address - Fax:
Practice Address - Street 1:7521 EDINGER AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3508
Practice Address - Country:US
Practice Address - Phone:949-438-0826
Practice Address - Fax:949-288-4015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty