TRANSFORMATION HEALTH & WELLNESS NPI 1003420381

NPI Information

TRANSFORMATION HEALTH & WELLNESS is a gynecology obstetrics gynecology in Anaheim, CA. TRANSFORMATION HEALTH & WELLNESS NPI is 1003420381. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6200 E CANYON RIM RD STE 105B
ANAHEIM, CA
ZIP 92807-313
Phone: (714) 900-3091
Fax: (714) 386-5147

The provider's authorized official is Jacquelyn Diane Cortez .
The authorized official title is President and has the following contact phone number (714) 900-3091.

The CLIA number assigned to this NPI record is 05D2203373 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2020 and was last updated on 9/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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