Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lifetree Healthcare Inc

Organization General Practice Physician · NPI 1821789603

Lifetree Healthcare Inc provides General Practice Physician services in Van Nuys, California. Registered with an NPI since 2023.

In the registry since
2023
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

13750 Victory Blvd
Van Nuys, CA 91401-2324
Phone: (818) 809-2437
Fax: (818) 809-2427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1821789603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fernando Enrile — President · (818) 809-2437
NPI enumeratedMay 15, 2023
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023
Mailing address13750 Victory Blvd, Van Nuys, CA 91401-2324

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