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Coaching 4 Life LLC — NPI 1245609700, Menifee, CA | NPI Central

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NPI 1245609700

OrganizationActive

Coaching 4 Life LLC

NPI 1245609700 · Point of Service · Menifee, CA

Provider details

NPI number: 1245609700
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Organization subpart: No
Authorized official: Shevonte Long, Owner(619) 928-4299

Specialties & taxonomies

Point of ServicePrimary305S00000X
Managed Care Organizations
Exclusive Provider Organization302F00000X
Managed Care Organizations
Health Maintenance Organization302R00000X
Managed Care Organizations
Preferred Provider Organization305R00000X
Managed Care Organizations

Practice location

31241 Casera Ct

Menifee, CA 92584-8291

Phone: (619) 327-9144

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

31241 Casera Ct

Menifee, CA 92584-8291

Registry dates

Enumerated: 2015-09-15
Last updated: 2015-09-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.