POWERSMD WELLNESS MEDICAL GROUP NPI 1740612134

NPI Information

NPI: 1740612134
Provider Name: POWERSMD WELLNESS MEDICAL GROUP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
428 MAIN ST
SUITE 101
HUNTINGTON BEACH, CA
ZIP 92648
Phone: (714) 843-0400
Get Directions

POWERSMD WELLNESS MEDICAL GROUP is a general practice in Huntington Beach, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee POWERSMD WELLNESS MEDICAL GROUP NPI is 1740612134. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

428 MAIN ST
SUITE 101
HUNTINGTON BEACH, CA
ZIP 92648-142
Phone: (714) 843-0400
Fax: (714) 969-4001

The provider's authorized official is Thomas Powers .
The authorized official title is Owner and has the following contact phone number (714) 843-0400.

The enumeration date for this NPI number is 8/7/2013 and was last updated on 9/23/2013.

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	207QA0401X	Family Medicine	Addiction Medicine	G15640	CALIFORNIA	No
2	208VP0014X	Pain Medicine	Interventional Pain Medicine	G15640	CALIFORNIA	No
3	208VP0000X	Pain Medicine	Pain Medicine	G15640	CALIFORNIA	No
4	208D00000X	General Practice		G15640	CALIFORNIA	Yes

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
1	G15640	OTHER	CALIFORNIA	MEDICAL LICENSE
2	A119702	OTHER	CALIFORNIA	MEDICAL LICENSE

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

NPI Synchronization or Removal

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