Organization Active NPI

Gi Wellness Medical Corporation

Doing business as GI Wellness

  • Gastroenterology Registered Nurse
  • Beverly Hills, CA
National Provider Identifier
1710812771
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology Registered NurseTaxonomy code 163WG0100X
Legal business name
GI WELLNESS MEDICAL CORPORATION
Doing business as
GI Wellness
Practice address
360 N Bedford Dr # 100
Beverly Hills, CA 90210-5129
Phone
(310) 424-4892
NPI assigned
Jun 12, 2026
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Mr. Ernest G Lee
Title
Administrator
Phone
(808) 295-6809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Registered Nurse 163WG0100X Primary

Addresses

Primary practice location

360 N Bedford Dr # 100
Beverly Hills, CA 90210-5129

Mailing address

2605 Camino Tassajara Unit 2500
Danville, CA 94526-6032
Phone (808) 295-6809

Other names 1

  • GI Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

360 N Bedford Dr
#100
Beverly Hills, CA 90210

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1710812771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 CAMINO TASSAJARA UNIT 2500",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266032",
            "telephone_number": "808-295-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N BEDFORD DR # 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105129",
            "telephone_number": "310-424-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI WELLNESS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-295-6809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GI Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.