The Source Health and Wellness Treatment Center
NPI 1700211984 · Community/Behavioral Health Agency · Los Angeles, CA
The Source Health and Wellness Treatment Center is a Community/Behavioral Health Agency organization in Los Angeles, CA (NPI 1700211984).
Provider details
- NPI number
- 1700211984
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jason Levine, President and Executive Director(310) 477-8140
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2013-09-06
- Last updated
- 2013-09-06
Frequently asked questions
- What is The Source Health and Wellness Treatment Center's NPI number?
- The Source Health and Wellness Treatment Center's National Provider Identifier (NPI) is 1700211984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Source Health and Wellness Treatment Center?
- The Source Health and Wellness Treatment Center is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is The Source Health and Wellness Treatment Center located?
- The Source Health and Wellness Treatment Center's practice location on file with NPPES is 11150 W Olympic Blvd Ste 760, Los Angeles, CA 90064-1817.
- What is The Source Health and Wellness Treatment Center's phone number?
- The practice phone number listed in the NPPES registry for The Source Health and Wellness Treatment Center is (310) 477-8140.
- Who is the authorized official for The Source Health and Wellness Treatment Center?
- The authorized official listed on The Source Health and Wellness Treatment Center's NPPES record is Jason Levine, President and Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Source Health and Wellness Treatment Center's NPI active?
- Yes — The Source Health and Wellness Treatment Center's NPI (1700211984) is active in the NPPES registry as of the last update on 2013-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.