Pleasant Hill Wellness Center, a Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PLEASANT HILL WELLNESS CENTER, A MEDICAL CORPORATION

Practice address

140 Gregory LN
Suite 280
Pleasant Hill, CA 94523-3399

Phone

(925) 288-0828

Fax

(925) 288-0829

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Hansoo Kim, M.D.

Title

President

Phone

(925) 288-0828

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295795631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GREGORY LN",
            "address_2": "SUITE 280",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233399",
            "telephone_number": "925-288-0828",
            "fax_number": "925-288-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GREGORY LN",
            "address_2": "SUITE 280",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233399",
            "telephone_number": "925-288-0828",
            "fax_number": "925-288-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT HILL WELLNESS CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HANSOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-288-0828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "ZZZ03062Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pleasant Hill Family Medicine Inc
• Pleasant Hill Medical Center Inc
• Pleasant Hill Prosthodontics
• Pleasant Hill Villa Home Care
• Pleasant Hill Villa Home Care 3
• Pleasant Hillidence Opco, LLC
• David Stuart Pollack, PH. D.
• Cassidie Pollard
• Portia Polner, PH D LIC PSYCHOLOGIS
• Michelle Pongol

• Primary Care Clinic/Center in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.