OrganizationActive
Wings of Refuge Inc
NPI 1831474980 · Exclusive Provider Organization · Los Angeles, CA
Provider details
- NPI number
- 1831474980
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Renee Moncito, President & Ceo(310) 670-6767
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3939 Tracy St
Los Angeles, CA 90027-3207
Phone: (323) 671-1400
Fax: (323) 665-8682
Street-level locationGet directions
Mailing address
5777 W Century Blvd
Los Angeles, CA 90045-5600
Other names (DBA / former)
- Other name
- Wings of Recovery-John Marshall High School
Registry dates
- Enumerated
- 2011-10-19
- Last updated
- 2011-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.