CENTER FOR WELLNESS NPI 1912278664

NPI Information

NPI: 1912278664
Provider Name: CENTER FOR WELLNESS

Former Legal Business Name: OPTIMAL WELLNESS

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
420 N MONTEBELLO BLVD
300
MONTEBELLO, CA
ZIP 90640
Phone: (323) 726-6289
Get Directions

CENTER FOR WELLNESS is a general practice in Montebello, 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 CENTER FOR WELLNESS NPI is 1912278664. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Optimal Wellness.

The provider's business location address is:

420 N MONTEBELLO BLVD
300
MONTEBELLO, CA
ZIP 90640-268
Phone: (323) 726-6289
Fax: (323) 726-6767

The provider's authorized official is Jorge L Moreno .
The authorized official title is Practitioner / Physician and has the following contact phone number (323) 726-6289.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 6/28/2021.

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
1	175L00000X	Homeopath				No
2	204R00000X	Electrodiagnostic Medicine				No
3	207QB0002X	Family Medicine	Obesity Medicine			No
4	2083P0500X	Preventive Medicine	Preventive Medicine/Occupational Environmental Medicine			No
5	208D00000X	General Practice		20A6911	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

NPI Synchronization or Removal

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