Well

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WELL

Practice address

2820 Sawtelle Blvd
101
Los Angeles, CA 90064-3782

Phone

(310) 384-0970

NPI assigned

May 31, 2016

Last updated

May 31, 2016By 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

Ildar Fazulyanov

Title

Chief Executive Officer

Phone

(310) 384-0970

Specialties & licenses 3

Addresses

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.

• Matthew Greg Lefferman, DO

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1184622417
  NPD (past)

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1871941989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 SAWTELLE BLVD",
            "address_2": "101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643782",
            "telephone_number": "310-384-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 SAWTELLE BLVD",
            "address_2": "101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643782",
            "telephone_number": "310-384-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "FAZULYANOV",
        "authorized_official_first_name": "ILDAR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-384-0970"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahwa Gebrihiwet Weldeselase
• Dashawn Weldon
• Edward Joseph Weldon IV
• Casey James Welk, AGNP-C
• Welkin Health Care
• Well Being Q Acupuncturist Inc (Padong Hanbang)
• Well Being Touch Center
• Well Centre Hospice Care, Inc.
• Well Play Family Counseling, Inc. (Well-Play Counseling & Wellbeing)
• Well Women Acupuncture

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.