Bien Wellness Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

BIEN WELLNESS INC

Practice address

15508 S Normandie Ave
Gardena, CA 90247-4014

Phone

(310) 523-3747

NPI assigned

Nov 2, 2020

Organization subpart

No

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

Authorized official

Name

Tina Mahserejian

Title

Administerator

Phone

(626) 376-6804

Specialties & licenses 2

Addresses

Other names 1

• Bien Wellness INC Former legal business name

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1891396347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15508 S NORMANDIE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474014",
            "telephone_number": "310-523-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15508 S NORMANDIE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474014",
            "telephone_number": "310-523-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIEN WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "MAHSEREJIAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "ADMINISTERATOR",
        "authorized_official_telephone_number": "626-376-6804"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bien Wellness INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Medicine Physician in Gardena, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.