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OCEANS EDGE WELLNESS INC
NPI 1942021498
Internal Medicine - Addiction Medicine in San Pedro, CA

Active since October 17, 2024
1420 W 7TH ST, SAN PEDRO, CA 90732(310) 623-0502 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oceans Edge Wellness Inc NPPES

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

OCEANS EDGE WELLNESS INC (NPI 1942021498) is a healthcare organization registered as an addiction medicine in San Pedro, California and active in the NPI registry since October 2024. The organization maintains a secondary practice location in San Pedro and lists Christina Marie Reichert, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1942021498
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameOCEANS EDGE WELLNESS INC
Location Address1420 W 7TH STSan Pedro, CA 90732-3507
Mailing Address1816 S Anchovy AveSan Pedro, CA 90732-4108 · (310) 623-0502
Phone(310) 623-0502
Organization SubpartNo
Authorized OfficialChristina Marie ReichertExecutive Director · (310) 623-0502
Enumeration DateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1942021498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1420 W 7TH ST, San Pedro, CA 90732
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Secondary Practice Location 1

Location 11816 S Anchovy AveSan Pedro, CA 90732-4108 · Phone (310) 623-0502

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Oceans Edge Wellness Inc's NPI number?

The NPI number for Oceans Edge Wellness Inc is 1942021498. It was assigned to this organization in the NPPES registry on October 17, 2024.

Where is Oceans Edge Wellness Inc located?

Oceans Edge Wellness Inc is located at 1420 W 7th St, San Pedro, CA 90732. The listed phone number is (310) 623-0502.

What is Oceans Edge Wellness Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Oceans Edge Wellness Inc was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.