IMAGEN & CHRYSTAL INC NPI 1225300775

NPI Information

NPI: 1225300775
Provider Name: IMAGEN & CHRYSTAL INC

Doing Business As: PV WELLNESS CENTER

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
26640 WESTERN AVE STE K2
HARBOR CITY, CA
ZIP 90710
Phone: (310) 530-0500
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IMAGEN & CHRYSTAL INC is a health service clinic center in Harbor City, CA. IMAGEN & CHRYSTAL INC NPI is 1225300775. The provider is registered as an organization entity type.
The provider Is Doing Business As Pv Wellness Center.

The provider's business location address is:

26640 WESTERN AVE STE K2
HARBOR CITY, CA
ZIP 90710-600
Phone: (310) 530-0500
Fax: (310) 530-0501

The provider's authorized official is Enkhbayar Tserendorj .
The authorized official title is Ceo and has the following contact phone number (310) 530-0500.

The enumeration date for this NPI number is 1/30/2012 and was last updated on 1/30/2012.

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
1	261QH0100X	Clinic/Center	Health Service	AC11091	CALIFORNIA	Yes

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: 5/5/2024

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