| You & Me Wellness, Apc | |
|
4221 Wilshire Blvd Ste 311 Los Angeles CA 90010-3537 | |
| (323) 917-5155 | |
| (323) 917-5156 |
| Full Name | You & Me Wellness, Apc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4221 Wilshire Blvd Ste 311, Los Angeles, California |
| Authorized Official Name and Position | Lucy Yusun Won (PRESIDENT/DO) |
| Authorized Official Contact | 7346459679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| You & Me Wellness, Apc 4221 Wilshire Blvd Ste 311 Los Angeles CA 90010-3537 Ph: (323) 917-5155 | You & Me Wellness, Apc 4221 Wilshire Blvd Ste 311 Los Angeles CA 90010-3537 Ph: (323) 917-5155 |
| NPI Number | 1306498704 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 05/26/2023 |
| Certification Date | 05/26/2023 |
| Medicare PECOS PAC ID | 6800124116 |
|---|---|
| Medicare Enrollment ID | O20190825000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306498704 | NPI | - | NPPES |
| 20A15920 | Other | CA | LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jae Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912105297 PECOS PAC ID: 1355513326 Enrollment ID: I20111017000706 |
| Provider Name | Lucy Yusun Won |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497172613 PECOS PAC ID: 7012136021 Enrollment ID: I20181004002595 |
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