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BODY SYSTEMS WELLNESS GROUP INC NPI 1427578848


NPI Information

NPI: 1427578848
Provider Name: BODY SYSTEMS WELLNESS GROUP INC

Former Legal Business Name: BODY SYSTEMS WELLNESS GROUP INC

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 05D2215586

Address:
800 S CENTRAL AVE STE 206
GLENDALE, CA
ZIP 91204
Phone: (818) 240-2233
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BODY SYSTEMS WELLNESS GROUP INC is a nurse practitioner in Glendale, CA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. BODY SYSTEMS WELLNESS GROUP INC NPI is 1427578848. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Body Systems Wellness Group Inc.

The provider's business location address is:

800 S CENTRAL AVE STE 206
GLENDALE, CA
ZIP 91204-379
Phone: (818) 240-2233
Fax: (818) 240-2237

The provider's authorized official is Shahen Kurestian .
The authorized official title is Provider and has the following contact phone number (818) 240-2233.

The CLIA number assigned to this NPI record is 05D2215586 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2017 and was last updated on 3/17/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC31558CALIFORNIANo
2111N00000XChiropractorDC27167CALIFORNIANo
3111N00000XChiropractorDC33522CALIFORNIANo
4208200000XPlastic SurgeryC35643CALIFORNIANo
5208VP0014XPain MedicineInterventional Pain MedicineA122407CALIFORNIANo
6363L00000XNurse Practitioner95007091CALIFORNIAYes

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
19500791OTHERCALIFORNIANURSE PRACTIONER
2A122407OTHERCALIFORNIAPAIN MEDICINE INTERVENTIONAL
3DC27167OTHERCALIFORNIACHIROPRACTOR
4DC31558OTHERCALIFORNIACHIROPRACTOR
5DC33522OTHERCALIFORNIACHIROPRACTOR
6C35643OTHERCALIFORNIAPLASTIC SURGERY
7A122407OTHERCALIFORNIAPAINE MEDICINE INTERVENTIONAL

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: 11/14/2023

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.