ENHANCE HEALTH GROUP LLC NPI 1053919423

NPI Information

  • NPI: 1053919423
  • Provider Name: ENHANCE HEALTH GROUP, LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • CLIA Number: 05D2287687
  • Address: 14742 NEWPORT AVE STE 208
    TUSTIN, CA
    ZIP 92780
  • Phone: (833) 903-3334

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NPI Details

ENHANCE HEALTH GROUP, LLC is an adult mental health clinic center in Tustin, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ENHANCE HEALTH GROUP, LLC NPI is 1053919423. The provider is registered as an organization entity type.

The provider's business location address is:

14742 NEWPORT AVE STE 208
TUSTIN, CA
ZIP 92780-177
Phone: (833) 903-3334

The provider's authorized official is Christina Khouie .
The authorized official title is Founder and has the following contact phone number (833) 903-3334.

The CLIA number assigned to this NPI record is 05D2287687 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2020 and was last updated on 4/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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