Family Wellness Center, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY19860 Issued in CA

Legal business name

FAMILY WELLNESS CENTER, INC.

Practice address

18300 Gridley Rd
Ste 304
Artesia, CA 90701-5440

Phone

(562) 569-5580

Fax

(562) 924-3851

NPI assigned

Jun 17, 2008

Last updated

Jun 17, 2008By 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. Dong Hwan Koo, PYS. D.NPI 1124040720

Title

Psychologist

Phone

(562) 569-5580

Specialties & licenses 1

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.

• Dong Hwan Koo, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Cerritos, CA
  • NPI 1124040720
  Authorized official Same address or phone

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1336309962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 GRIDLEY RD",
            "address_2": "STE 304",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015440",
            "telephone_number": "562-569-5580",
            "fax_number": "562-924-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 GRIDLEY RD",
            "address_2": "STE 304",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907015440",
            "telephone_number": "562-569-5580",
            "fax_number": "562-924-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "HWAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "562-569-5580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PYS. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Estrada, CCC-SLP
• Eugene Humphries, D.D.S., M.S.
• Michael Ray Eugenio, PT
• Candice Evins
• Eyecare Medical Corporation (Lasik Eye Center Medical Corporation)
• Fatima Home Care Services, Inc.
• Stephanie Fell, MS, LMFT
• Felipe Felix Roldan Fernandez, DDS
• Irais Flores-Portillo
• Founder's House of Hope

• Psychologist in Artesia, CA
• Providers in Artesia, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.