| Mediwellness, Inc | |
|
28047 Dorothy Dr Suite 201 Agoura Hills CA 91301-4925 | |
| (818) 879-7979 | |
| (818) 337-3043 |
| Full Name | Mediwellness, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 28047 Dorothy Dr, Agoura Hills, California |
| Authorized Official Name and Position | Nina Levy (PRESIDENT) |
| Authorized Official Contact | 8188797979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediwellness, Inc 28047 Dorothy Dr Suite 201 Agoura Hills CA 91301-4925 Ph: (818) 879-7979 | Mediwellness, Inc 28047 Dorothy Dr Suite 201 Agoura Hills CA 91301-4925 Ph: (818) 879-7979 |
| NPI Number | 1942570163 |
|---|---|
| Provider Enumeration Date | 01/04/2012 |
| Last Update Date | 01/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942570163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A83540 (California) | Primary |
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