OrganizationWest Coast Healthy Living CenterCounselorBehavioral Health & Social Service ProvidersPractice Address2158 Pacific Ave, Long Beach, CA 90806-4514(951) 567-6051PECOS EnrollmentBased on the most recent information from CMS, provider West Coast Healthy Living Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1760803746Provider TypeOrganizationFull NameWest Coast Healthy Living CenterSubpartNoEnumeration Date12/18/2013Last Updated12/18/2013Contact InformationPractice LocationPractice Address2158 Pacific Ave, Long Beach, CA 90806-4514Phone(951) 567-6051FaxUnlisted FaxMailing LocationMailing Address2158 Pacific Ave, Long Beach, CA 90806-4514Phone(951) 567-6051FaxUnlisted FaxAuthorized OfficialNameThompson, Kuawanna (Administration)Phone(951) 567-6051Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCalifornia