THERON WELLS MD INCORPORATED NPI 1730232075

NPI Information

  • NPI: 1730232075
  • Provider Name: THERON WELLS MD INCORPORATED
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Other Name: THERON WELLS MD
  • Address: 730 MAGNOLIA AVE
    CORONA, CA
    ZIP 92879
  • Phone: (951) 371-9391

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NPI Details

THERON WELLS MD INCORPORATED is a mental health counselor in Corona, CA. THERON WELLS MD INCORPORATED NPI is 1730232075. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Theron Wells Md.

The provider's business location address is:

730 MAGNOLIA AVE
CORONA, CA
ZIP 92879-117
Phone: (951) 371-9391
Fax: (951) 346-9040

The provider's authorized official is Theron Charles Wells .
The authorized official title is Owner-md and has the following contact phone number (951) 371-9391.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/11/2007.

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
1101YM0800XCounselorMental HealthG69274CALIFORNIAYes

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
1F57132MEDICARE UPINCALIFORNIA

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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