Wellnessclinic | |
432 S Brea Blvd Brea CA 92821-5301 | |
(714) 784-6767 | |
(714) 784-6757 |
Full Name | Wellnessclinic |
---|---|
Speciality | Nurse Practitioner - Family |
Location | 432 S Brea Blvd, Brea, California |
Authorized Official Name and Position | Ae Rah Kang (NP) |
Authorized Official Contact | 7147846767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wellnessclinic 432 S Brea Blvd Brea CA 92821-5301 Ph: (714) 784-6767 | Wellnessclinic 432 S Brea Blvd Brea CA 92821-5301 Ph: (714) 784-6767 |
NPI Number | 1497262695 |
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Provider Enumeration Date | 01/09/2018 |
Last Update Date | 12/11/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497262695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A4078 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 18049 (California) | Primary |
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