| Well Baby Center | |
|
12316 Venice Blvd Los Angeles CA 90066-3802 | |
| (310) 402-2229 | |
| Not Available |
| Full Name | Well Baby Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 12316 Venice Blvd, Los Angeles, California |
| Authorized Official Name and Position | Deborah Groening (OWNER) |
| Authorized Official Contact | 3104022229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Baby Center 12316 Venice Blvd Los Angeles CA 90066-3802 Ph: (310) 402-2229 | Well Baby Center 12316 Venice Blvd Los Angeles CA 90066-3802 Ph: (310) 402-2229 |
| NPI Number | 1235373838 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 06/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235373838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 45236 (California) | Primary |
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