Powersmd Wellness Medical Group, Inc.

NPI 1265869820 - Internal Medicine - 207RA0401X

NPI Details
NPI 1265869820
Enumeration Date 09/27/2013
Last Updated 09/27/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name THOMAS S. THOMAS
Position PRESIDENT
Phone (714) 903-4570
Fax (714) 903-4571
Practice Location
6552 BOLSA AVE
SUITE H
HUNTINGTON BEACH CA, 92647-2660, US
Phone (714) 903-4570
Fax (714) 903-4571
Business Location
428 MAIN ST
SUITE 101
HUNTINGTON BEACH CA, 92648-8142, US
Phone (714) 843-0400
Fax (714) 969-4001
Toxanomy
Taxonomy Code 207RA0401X
License State California
License Number G15640
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According to our database, Powersmd Wellness Medical Group, Inc. NPI is 1265869820, taxonomy code is 207RA0401X and license number is G15640, license state is located at California. Powersmd Wellness Medical Group, Inc. physically located at 6552 Bolsa Ave, Huntington Beach CA, 92647-2660. NPI Number 1033115704 has the healthcare provider type.

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1265869820 NPI number is provided on an as is basis without warranty of any kind. 1265869820 is maintained by the National Plan & Provider Enumeration System. The contents of Powersmd Wellness Medical Group, Inc. are for informational purposes only.