Active NPI
Medical Wellness Group, Inc.
- Durable Medical Equipment & Medical Supplies
- Palm Desert, CA
National Provider Identifier
1336680628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDICAL WELLNESS GROUP, INC.
- Practice address
- 42575 Washington St FL 2
Palm Desert, CA 92211-8850 - Phone
- (760) 360-8700
- NPI assigned
- Mar 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence E Le Roy, DC
- Title
- Ceo
- Phone
- (760) 360-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
42575 Washington St FL 2
Palm Desert, CA 92211-8850
Mailing address
41749 Brownstown Dr
Bermuda Dunes, CA 92203-1042
Phone (760) 636-9893
Other practice location 1
7220 Trade St Ste 209
San Diego, CA 92121-2326
Phone (858) 800-1006
National Provider Directory
National Provider DirectoryLocations
42215 Washington St
Ste A
Palm Desert, CA 92211
7220 Trade St
Ste 209
San Diego, CA 92121
Phone (858) 800-1006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567728000000",
"number": "1336680628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41749 BROWNSTOWN DR",
"city": "BERMUDA DUNES",
"state": "CA",
"postal_code": "922031042",
"telephone_number": "760-636-9893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42575 WASHINGTON ST FL 2",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922118850",
"telephone_number": "760-360-8700"
}
],
"practiceLocations": [
{
"address_1": "7220 Trade St Ste 209",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921212326",
"country_code": "US",
"telephone_number": "858-800-1006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEDICAL WELLNESS GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-20",
"last_updated": "2019-09-06",
"status": "A",
"authorized_official_last_name": "LE ROY",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-360-8700",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.