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WELLNESS SOLUTION MEDICAL GROUP INC NPI 1710533948


NPI Information

NPI: 1710533948
Provider Name: WELLNESS SOLUTION MEDICAL GROUP INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
6719 GREENBUSH AVE
VALLEY GLEN, CA
ZIP 91401
Phone: (818) 487-1795
Get Directions

WELLNESS SOLUTION MEDICAL GROUP INC is a diagnostic radiology radiology in Valley Glen, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. WELLNESS SOLUTION MEDICAL GROUP INC NPI is 1710533948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6719 GREENBUSH AVE
VALLEY GLEN, CA
ZIP 91401-204
Phone: (818) 487-1795

The provider's authorized official is Brian Keith Gamble .
The authorized official title is President and has the following contact phone number (818) 487-1795.

The enumeration date for this NPI number is 8/13/2019 and was last updated on 9/22/2021.


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
12085U0001XRadiologyDiagnostic UltrasoundNo
22085R0202XRadiologyDiagnostic RadiologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A76121OTHERCALIFORNIACA MEDICAL BOARD

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

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.