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CAQH Attestation Information

It is important to ensure that your CAQH stays up to date. Our team will use this information to set up Medicare Advantage Plans as well as ensure that we have up to date information.
I live in CA
I live in NY or NJ
I live in another state
Under your Practice Locations, indicate the following:

Practice Location Name: Total Life
Virtual-only Location:  
State: CA
Practice Location Email Address: Care@totallife.com
Practice Location Website: https://totallife.com/
Appointment Phone Number: 1 (800) 567-5433
Fax Number: 1 (888) 432-8212
Legal Business Name: Total Life CA, P.C.
Tax ID (Group): 92-1725163
Organization (Type 2) NPI: 1689389603
Type of Practice: Virtual Only

Under your Practice Locations, indicate the following:

Practice Location Name: Total Life
Virtual-only Location:  
State: Your home state
Practice Location Email Address: Care@totallife.com
Practice Location Website: https://totallife.com/
Appointment Phone Number: 1 (800) 567-5433
Fax Number: 1 (888) 432-8212
Legal Business Name: Total Life NJ P.A.
Tax ID (Group): 99-2079474
Organization (Type 2) NPI: 1104659614
Type of Practice: Virtual Only

Under your Practice Locations, indicate the following:

Practice Location Name: Total Life
Virtual-only Location:  
State: Your home state
Practice Location Email Address: Care@totallife.com
Practice Location Website: https://totallife.com/
Appointment Phone Number: 1 (800) 567-5433
Fax Number: 1 (888) 432-8212
Legal Business Name: Total Life, Inc.
Tax ID (Group): 85-3911392
Organization (Type 2) NPI: 1053909267
Type of Practice: Virtual Only