Back to Life Wellness Center Inc.
Organization Active NPI Clinic/Center · San Pedro, CA
NPI 1629613971 · NPPES record last updated Nov 11, 2019
Key facts
- NPI
- 1629613971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- BACK TO LIFE WELLNESS CENTER INC.
- Practice address
- 445 W 7TH St Ste C
San Pedro, CA 90731-3216 - Phone
- (310) 755-0324
- NPI assigned
- Nov 11, 2019
- Organization subpart
- No
Authorized official
- Name
- Princeton Nguyen, DC
- Title
- President
- Phone
- (310) 872-3588
National Provider Directory
Locations
445 W 7th St
Ste C
San Pedro, CA 90731
Phone (310) 755-0324
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
445 W 7TH St Ste C
San Pedro, CA 90731-3216
Mailing address
445 W 7TH St Ste C
San Pedro, CA 90731-3216
Phone (310) 755-0324
Other providers in San Pedro, CA
- Leopoldo Aviles Arenas
- Pablo Ayala
- Kathryn Ayoob
- Justin Bret Ayres
- Ante Babich
- Anna Back
- Maria E Baez
- Jared Bailey
- Jesse L Bailey
- Baker Chiropractic
All providers in San Pedro, CA · Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.