Men's Health and Wellness Center USA PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

C50947 Issued in CA

Legal business name

MEN'S HEALTH AND WELLNESS CENTER USA PC

Practice address

11900 W Olympic Blvd
540
Los Angeles, CA 90064-1151

Phone

(310) 820-1133

Fax

(310) 820-2233

NPI assigned

Mar 27, 2017

Last updated

Mar 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joan Simpson

Title

Director of Compliance

Phone

(615) 562-4048

Specialties & licenses 1

Addresses

Tax ID family

Men's Health and Wellness Center USA PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Men's Health and Wellness Center USA PC

  • Specialist
  • San Diego, CA
  • NPI 1104357235
  NPD tax ID
• Mens Health and Wellness Center USA PC

  • Specialist
  • Costa Mesa, CA
  • NPI 1578094496
  NPD tax ID

Locations

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1861923310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23275 S POINTE DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531474",
            "telephone_number": "615-562-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 W OLYMPIC BLVD",
            "address_2": "540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641151",
            "telephone_number": "310-820-1133",
            "fax_number": "310-820-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN'S HEALTH AND WELLNESS CENTER USA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "615-562-4048",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C50947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Pathology Medical Group, Inc.
• Memory Psychiatric Services PC
• Roberto Leonardo Mempin, M.D.
• Robert G Memsic Jr., D.D.S.
• Men Taking Over Reforming Society Inc
• Men's Health Foundation
• Men's Health Foundation
• Men's Health Foundation 8601
• Luz Maria Mena Bernal
• David Alexis Mena Villa

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.