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BONAFIDE WELLNESS, INC.
NPI 1063362283
Clinic/Center in Los Angeles, CA

Active since January 28, 2026
6330 SAN VICENTE BLVD STE 245, LOS ANGELES, CA 90048(424) 600-5010 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Jan 28, 2026 (2 updates tracked since 2026).

About Bonafide Wellness, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONAFIDE WELLNESS, INC. (NPI 1063362283) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since January 2026. The organization lists Jainen Shin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063362283
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBONAFIDE WELLNESS, INC.
Location Address6330 SAN VICENTE BLVD STE 245Los Angeles, CA 90048-5425
Mailing Address6330 San Vicente Blvd Ste 245Los Angeles, CA 90048-5425 · (424) 600-5010 · Fax (213) 814-5728
Phone(424) 600-5010
Organization SubpartNo
Authorized OfficialJainen ShinCeo · (949) 246-0811
Enumeration DateJanuary 28, 2026
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1063362283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6330 SAN VICENTE BLVD STE 245, Los Angeles, CA 90048
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAINEN SHIN L.AC
Acupuncturist
6330 SAN VICENTE BLVD STE 245
LOS ANGELES, CA 90048
Los Angeles County (949) 342-6876
DR. VASIL N VASSILEV DC
Chiropractor
6330 SAN VICENTE BLVD STE 245
LOS ANGELES, CA 90048
Los Angeles County (818) 438-7054
JAINEN SHIN ACUPUNCTURE, INC
Acupuncturist
6330 SAN VICENTE BLVD STE 245
LOS ANGELES, CA 90048
Los Angeles County (424) 600-5010
VASIL VASSILEV CHIROPRACTIC CORPORATION
Chiropractor
6330 SAN VICENTE BLVD STE 245
LOS ANGELES, CA 90048
Los Angeles County (424) 600-5010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonafide Wellness, Inc.'s NPI number?

The NPI number for Bonafide Wellness, Inc. is 1063362283. It was assigned to this organization in the NPPES registry on January 28, 2026.

Where is Bonafide Wellness, Inc. located?

Bonafide Wellness, Inc. is located at 6330 San Vicente Blvd Ste 245, Los Angeles, CA 90048. The listed phone number is (424) 600-5010.

What is Bonafide Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Bonafide Wellness, Inc. was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.