World Gym DHS Success LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WORLD GYM DHS SUCCESS LLC

Practice address

12155 Palm Dr
Desert Hot Springs, CA 92240-3956

Phone

(760) 329-8504

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Andrew Levine

Title

Owner

Phone

(760) 329-8504

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1205360724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12155 PALM DR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922403956",
            "telephone_number": "760-329-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12155 PALM DR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922403956",
            "telephone_number": "760-329-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORLD GYM DHS SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-329-8504"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felishia Williams
• Garrett Nicholas Savard Williams
• Kenneth Williams, A052240321
• Samaria A Williams
• Althea V. Wolaver, PH.D.
• Lester Clint Worthington
• Lorisa Yancy
• Lengpea Yang
• Adriana C Ybarra, L.C.S.W.
• Nicole Yingling, A033390616

• General Practice Physician in Desert Hot Springs, CA
• Providers in Desert Hot Springs, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.