Belmont Shore Wellness Center
Clinic/Center in Long Beach, CA. Organization (NPI-2).
NPI number1235772609
StatusActive
Last updated in NPPESOct 17, 2019
Details
- NPI
- 1235772609
- Entity type
- Organization (NPI-2)
- Legal business name
- Belmont Shore Wellness Center
- Organization subpart
- No
- Enumeration date
- Oct 17, 2019
- Last updated
- Oct 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
5237 E 2nd StLong Beach, CA 90803-5326
Phone 562-433-1200
Mailing address
5237 E 2nd StLong Beach, CA 90803-5326
Authorized official
Diep Pham
Owner
5625999220
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