Wellbeing Clinic Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

WELLBEING CLINIC INC

Practice address

1621 S New Hampshire Ave
Los Angeles, CA 90006-4513

Phone

(213) 598-4947

NPI assigned

Apr 17, 2020

Organization subpart

No

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

Authorized official

Name

Philip Kim, MD

Title

Ceo

Phone

(213) 598-4947

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1669092854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 S NEW HAMPSHIRE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064513",
            "telephone_number": "213-598-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 S NEW HAMPSHIRE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064513",
            "telephone_number": "213-598-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-598-4947",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Well Women Acupuncture
• Robert E. Wellauer, MD
• Wellbeing Medical Eqpt & Supply Inc
• Wellcare Health Services Inc.
• Wellcare Home Health Service, Inc.
• Wellcare Physical Therapy Inc.
• Wellcare Wound & Podiatry Services Inc

• Adult Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.