Be Well Centers of Southern California, Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

BE WELL CENTERS OF SOUTHERN CALIFORNIA, INC.

Practice address

7801 Center Ave Ste 103
Huntington Beach, CA 92647-9112

Phone

(714) 230-2440

Fax

(714) 230-2441

NPI assigned

Dec 4, 2018

Last updated

Dec 4, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Sungho Ahn, MDNPI 1083761084

Title

Ceo

Phone

(760) 987-0431

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Sungho Ahn, MD

  • Pediatrics Physician
  • Apple Valley, CA
  • NPI 1083761084
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1093285918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5073 CENTRAL AVE UNIT 1646",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919081646",
            "telephone_number": "760-987-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 CENTER AVE STE 103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479112",
            "telephone_number": "714-230-2440",
            "fax_number": "714-230-2441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 N Bedford Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104306",
            "country_code": "US",
            "telephone_number": "714-230-2440",
            "fax_number": "714-230-2441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BE WELL CENTERS OF SOUTHERN CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SUNGHO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-987-0431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Disorder Diagnostic Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.