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

Oceans Edge Wellness Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1942021498

Oceans Edge Wellness Inc is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Works from 3 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1420 W 7th St
San Pedro, CA 90732-3507
Phone: (310) 623-0502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1816 S Anchovy Ave, San Pedro, CA 90732-4108 — (310) 623-0502
  • 1816 S Anchovy Ave, San Pedro, CA 90732-4108 — (310) 623-0502

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1942021498
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Reichert — Executive Director · (310) 623-0502
NPI enumeratedOctober 17, 2024
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address1816 S Anchovy Ave, San Pedro, CA 90732-4108

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