OrganizationActive
Bonafide Wellness, Inc.
NPI 1063362283 · Clinic/Center · Los Angeles, CA
Bonafide Wellness, Inc. is a Clinic/Center organization in Los Angeles, CA (NPI 1063362283).
Provider details
- NPI number
- 1063362283
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jainen Shin, Ceo(949) 246-0811
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6330 San Vicente Blvd Ste 245
Los Angeles, CA 90048-5425
Phone: (424) 600-5010
Street-level locationGet directions
Mailing address
6330 San Vicente Blvd Ste 245
Los Angeles, CA 90048-5425
Registry dates
- Enumerated
- 2026-01-28
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Frequently asked questions
- What is Bonafide Wellness, Inc.'s NPI number?
- Bonafide Wellness, Inc.'s National Provider Identifier (NPI) is 1063362283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonafide Wellness, Inc.?
- Bonafide Wellness, Inc. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bonafide Wellness, Inc. located?
- Bonafide Wellness, Inc.'s practice location on file with NPPES is 6330 San Vicente Blvd Ste 245, Los Angeles, CA 90048-5425.
- What is Bonafide Wellness, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Bonafide Wellness, Inc. is (424) 600-5010.
- Who is the authorized official for Bonafide Wellness, Inc.?
- The authorized official listed on Bonafide Wellness, Inc.'s NPPES record is Jainen Shin, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonafide Wellness, Inc.'s NPI active?
- Yes — Bonafide Wellness, Inc.'s NPI (1063362283) is active in the NPPES registry as of the last update on 2026-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.