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NOURISHING WELLNESS MEDICAL CENTER NPI 1164466884


NPI Information

NPI: 1164466884
Provider Name: NOURISHING WELLNESS MEDICAL CENTER
Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
819 N HARBOR DR STE 310
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 373-7830
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NOURISHING WELLNESS MEDICAL CENTER is a public health and general preventive medicine preventive medicine in Redondo Beach, CA. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. NOURISHING WELLNESS MEDICAL CENTER NPI is 1164466884. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

819 N HARBOR DR STE 310
REDONDO BEACH, CA
ZIP 90277-056
Phone: (310) 373-7830
Fax: (310) 373-7830

The provider's authorized official is Allen Hermann Peters .
The authorized official title is President/medical Director and has the following contact phone number (310) 373-7830.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 4/20/2020.


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
1133VN1006XDietitian, RegisteredNutrition, MetabolicNo
22083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

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.