Provider Type Icon

POWERSMD WELLNESS MEDICAL GROUP INC. NPI 1265869820


NPI Information

NPI: 1265869820
Provider Name: POWERSMD WELLNESS MEDICAL GROUP, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
6552 BOLSA AVE
SUITE H
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (714) 903-4570
Get Directions

POWERSMD WELLNESS MEDICAL GROUP, INC. is a general practice in Huntington Beach, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee POWERSMD WELLNESS MEDICAL GROUP, INC. NPI is 1265869820. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6552 BOLSA AVE
SUITE H
HUNTINGTON BEACH, CA
ZIP 92647-660
Phone: (714) 903-4570
Fax: (714) 903-4571

The provider's authorized official is Thomas S. Powers .
The authorized official title is President and has the following contact phone number (714) 903-4570.

The enumeration date for this NPI number is 9/27/2013 and was last updated on 9/27/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0401XInternal MedicineAddiction MedicineG15640CALIFORNIANo
2208VP0000XPain MedicinePain MedicineG15640CALIFORNIANo
3208VP0014XPain MedicineInterventional Pain MedicineG15640CALIFORNIANo
4208D00000XGeneral PracticeG15640CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G15640OTHERCALIFORNIALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.