Healthy Medical Wellness, INC.
Clinic/Center in Riverside, CA. Organization (NPI-2).
NPI number1982303079
StatusActive
Last updated in NPPESFeb 27, 2023
Details
- NPI
- 1982303079
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthy Medical Wellness, INC.
- Organization subpart
- No
- Enumeration date
- Feb 27, 2023
- Certification date
- Feb 27, 2023
- Last updated
- Feb 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Healthy Medical Wellness (Doing Business As)
Practice location
4193 Flat Rock Dr Ste 200Riverside, CA 92505-7113
Phone 626-208-9377
Mailing address
5120 Hamner AveSte 140 #568
Eastvale, CA 91752
Phone 626-208-9377
Authorized official
Brandy Liu
Physician
6262089377
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