Waterfront Wellness Center Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

12167 Issued in CA

Legal business name

WATERFRONT WELLNESS CENTER INC.

Practice address

531 N Avalon Blvd
Wilmington, CA 90744-5805

Phone

(310) 955-6746

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Sara Marie Victoria

Title

President

Phone

(310) 955-6746

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duc Tran, ACCUPUNCTURIST

  • Acupuncturist
  • Wilmington, CA
  • NPI 1952764961
  NPD (past)

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1831552835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445805",
            "telephone_number": "310-955-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445805",
            "telephone_number": "310-955-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFRONT WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "VICTORIA",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-955-6746",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Belen Velasco
• Karen Elizabeth Veliz Gonzalez
• Kiran Mysore Venkataramu, M.S., CCC SLP
• Luella Myrtle Viegas
• Michael Lee Wand, R.N.
• Cordei Watson
• Jacqueline Webb, LVN
• West Coast Medical Clinic Inc
• West Pacific Pharmacy Inc
• Rosalind J Williams, PA-C

• Acupuncturist in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.