Organization · NPI-2

1 Community Wellness & Health INC

Family Medicine · Baldwin Park, CA

NPI number1417184599
StatusActive
Last updated in NPPESSep 22, 2021

Details

NPI
1417184599
Entity type
Organization (NPI-2)
Legal business name
1 Community Wellness & Health INC
Organization subpart
No
Enumeration date
Jun 16, 2009
Certification date
Sep 22, 2021
Last updated
Sep 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA33873CAYes

Practice location

14461 Merced Ave Ste 203
Baldwin Park, CA 91706-5174

Phone 626-960-5369 · Fax 626-814-2156

Mailing address

14461 Merced Ave Ste 203
Baldwin Park, CA 91706-5174

Phone 626-960-5369 · Fax 626-814-2156

Authorized official

Alexander V Abary
Medical Director
6269605369

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