| Make You Well Center, Inc | |
|
23365 Hawthorne Blvd Ste 104 Torrance CA 90505-3736 | |
| (310) 927-6484 | |
| Not Available |
| Full Name | Make You Well Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23365 Hawthorne Blvd Ste 104, Torrance, California |
| Authorized Official Name and Position | Daniela Dillman (NP) |
| Authorized Official Contact | 3109276484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Make You Well Center, Inc 6022 W 76th Pl Los Angeles CA 90045-1640 Ph: () - | Make You Well Center, Inc 23365 Hawthorne Blvd Ste 104 Torrance CA 90505-3736 Ph: (310) 927-6484 |
| NPI Number | 1720580962 |
|---|---|
| Provider Enumeration Date | 03/04/2018 |
| Last Update Date | 01/20/2020 |
| Medicare PECOS PAC ID | 0941538433 |
|---|---|
| Medicare Enrollment ID | O20190821004026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720580962 | NPI | - | NPPES |
| Provider Name | Daniela Dillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316371842 PECOS PAC ID: 5597993972 Enrollment ID: I20140109001170 |
| Provider Name | Robin Kucharik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720627789 PECOS PAC ID: 1658754403 Enrollment ID: I20220811003017 |
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