NPI: 1730688656
Provider Name: FORWARD WELLNESS , INC.
Doing Business As: FORWARD WELLNESS TREATMENT CENTER
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
CLIA Number: 05D2162786
Address:
1041 E YORBA LINDA BLVD STE 202
PLACENTIA, CA
ZIP 92870
Phone: (800) 701-0937
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FORWARD WELLNESS , INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Placentia, CA. FORWARD WELLNESS , INC. NPI is 1730688656. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Forward Wellness Treatment Center.
The provider's business location address is:
1041 E YORBA LINDA BLVD STE 202
PLACENTIA, CA
ZIP 92870-760
Phone: (800) 701-0937
Fax: (800) 701-0937
The provider's authorized official is Joseph Chavez .
The authorized official title is Program Manager and has the following contact phone number (714) 478-0501.
The CLIA number assigned to this NPI record is 05D2162786 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/6/2018 and was last updated on 1/16/2019.