Organization Active NPI

Medical Wellness Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Palm Desert, CA
National Provider Identifier
1336680628
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Sep 6, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.