Men'S Health and Wellness Center USA PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

C50947 Issued in CA

Legal business name

MEN'S HEALTH AND WELLNESS CENTER USA PC

Practice address

2810 Camino del Rio S
116
San Diego, CA 92108-3818

Phone

(619) 564-8923

Fax

(619) 677-2057

NPI assigned

Mar 21, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Joan Bellman Simpson

Title

Director of Compliance

Phone

(615) 562-4048

Specialties & licenses 1

Addresses

Tax ID family

Men'S Health and Wellness Center USA PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Men'S Health and Wellness Center USA PC

  • Specialist
  • Los Angeles, CA
  • NPI 1861923310
  NPD tax ID
• Mens Health and Wellness Center USA PC

  • Specialist
  • Costa Mesa, CA
  • NPI 1578094496
  NPD tax ID

Locations

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1104357235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23275 S POINTE DR",
            "address_2": "SUITE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531474",
            "telephone_number": "949-200-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 CAMINO DEL RIO S",
            "address_2": "116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083818",
            "telephone_number": "619-564-8923",
            "fax_number": "619-677-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN'S HEALTH AND WELLNESS CENTER USA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "BELLMAN",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "615-562-4048",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C50947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Membreno Almendaers
• Elseke Margarita Membreno-Zenteno
• Brigham Memmott
• Brenna Jean Memole, AGNP-C
• Jessica Memun Sidauy, L.AC.
• Carina Mena
• Eliza Mena
• Isabella Mena
• Jacqueline L Mena
• Luke Mena

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.