GREEN WELLS EECP PHYSICAL THERAPY NPI 1013246222

NPI Information

  • NPI: 1013246222
  • Provider Name: GREEN WELLS EECP PHYSICAL THERAPY
  • Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
  • Entity Type: Organization
  • Doing Business As: GREEN WELLS EECP
  • Address: 8602 ELBURG STREET APT C
    PARAMOUNT, CA
    ZIP 90723
  • Phone: (310) 405-1478

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NPI Details

GREEN WELLS EECP PHYSICAL THERAPY is a residential treatment facility physical disabilities in Paramount, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. GREEN WELLS EECP PHYSICAL THERAPY NPI is 1013246222. The provider is registered as an organization entity type.
The provider Is Doing Business As Green Wells Eecp.

The provider's business location address is:

8602 ELBURG STREET APT C
PARAMOUNT, CA
ZIP 90723
Phone: (310) 405-1478

The provider's authorized official is Jared Jason Wells .
The authorized official title is Owner/chief Techician and has the following contact phone number (310) 405-1478.

The enumeration date for this NPI number is 12/17/2009 and was last updated on 12/17/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320700000XResidential Treatment Facility, Physical DisabilitiesCALIFORNIAYes

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: 11/21/2025

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