Nourishing Wellness Inc in Redondo Beach - Internal Medicine
Nourishing Wellness Inc - NPI 1336321520
Nourishing Wellness Inc is a Internal Medicine in Redondo Beach, California. Nourishing Wellness Inc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Nourishing Wellness Inc is 1336321520. The last update date is 2020-04-15.
Nourishing Wellness Inc's current location address is 819 N Harbor Dr, Redondo Beach, California. You can contact this provider via phone number 3103737830 and fax number 3103737840. The mailing address for Nourishing Wellness Inc is 819 N Harbor Dr, Redondo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nourishing Wellness Inc |
|---|---|
| Address | 819 N Harbor Dr, Redondo Beach, California |
| Phone Number | 3103737830 |
| Fax Number | 3103737840 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Peters Allen |
| Credentials | MD |
| Telephone Number | 3103737830 |
NPI Number Detail
| NPI Number | 1336321520 |
|---|---|
| Provider Enumeration Date | 2007-11-29 |
| Last Updated Date | 2020-04-15 |
Provider Mailing Address Detail
| Address | 819 N Harbor Dr |
|---|---|
| City | Redondo Beach |
| State | California (CA) |
| Post Code | 902772006 |
| Phone Number | 3103737830 |
| Fax Number | 3103737840 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | G16945 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the Nourishing Wellness Inc's 1336321520?
The Nourishing Wellness Inc's NPI (National Provider Identifier) Number is 1336321520. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Nourishing Wellness Inc is physically located?
The Nourishing Wellness Inc is situated at the following address: 819 N Harbor Dr, Redondo Beach, CA 902772006.
What is Nourishing Wellness Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nourishing Wellness Inc's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Nourishing Wellness Inc receive its 1336321520 assignment from the Centers for Medicare & Medicaid Services?
The Nourishing Wellness Inc was assigned its 1336321520 by the Centers for Medicare & Medicaid Services on 2007-11-29.
When was the information related to Nourishing Wellness Inc most recently updated or refreshed?
The details pertaining to the Nourishing Wellness Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-04-15.
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