| Beverly Hills Wellness Physician Corp | |
|
701 E 28th St Ste 100 Long Beach CA 90806-2769 | |
| (562) 426-2551 | |
| (818) 337-2049 |
| Full Name | Beverly Hills Wellness Physician Corp |
|---|---|
| Speciality | Allergy & Immunology - Allergy |
| Location | 701 E 28th St Ste 100, Long Beach, California |
| Authorized Official Name and Position | Edward Brent Laugeson (MANAGER) |
| Authorized Official Contact | 8185185980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Hills Wellness Physician Corp 7230 Medical Center Drive Suite 302 West Hills CA 91307 Ph: (818) 548-5980 | Beverly Hills Wellness Physician Corp 701 E 28th St Ste 100 Long Beach CA 90806-2769 Ph: (562) 426-2551 |
| NPI Number | 1053705228 |
|---|---|
| Provider Enumeration Date | 03/25/2015 |
| Last Update Date | 01/15/2020 |
| Certification Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053705228 | NPI | - | NPPES |
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