Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fountain of Life Centre

Organization Case Manager/Care Coordinator · NPI 1083162630

Fountain of Life Centre is a Case Manager/Care Coordinator in San Pedro, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

350 W 5th St Ste 105 1/2
San Pedro, CA 90731-2751
Phone: (310) 940-1259
Fax: (424) 477-5398
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 193200000X (CA)

Record details

NPI number1083162630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Tweten — General Manager · (310) 940-1259
Other names North End Spinal Treatment
NPI enumeratedSeptember 13, 2016
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address4733 Torrance Blvd, Pmb #464, Torrance, CA 90503-4100

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