Oceans Edge Wellness Inc
NPI 1942021498 · Addiction Medicine (Internal Medicine) Physician · San Pedro, CA
Provider details
- NPI number
- 1942021498
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christina Reichert, Executive Director(310) 623-0502
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Addiction Psychiatry Physician2084P0802X
Allopathic & Osteopathic Physicians
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 1816 S Anchovy AveSan Pedro, CA 90732-4108Phone: (310) 623-0502
- 1816 S Anchovy AveSan Pedro, CA 90732-4108Phone: (310) 623-0502
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2024-10-17
- Certified
- 2024-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.