Organization Active NPI

Wellbeing Holistic Medicine Inc

  • Non-Pharmacy Dispensing Site
  • Lakewood, CA
National Provider Identifier
1972148369
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
WELLBEING HOLISTIC MEDICINE INC
Practice address
5841 Bellflower Blvd
Lakewood, CA 90713-1057
Phone
(818) 551-0464
NPI assigned
Nov 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Dr. Cristal Dawn Speller, MD MPH
Title
President/Ceo
Phone
(818) 551-0464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

5841 Bellflower Blvd
Lakewood, CA 90713-1057

Mailing address

230 N Maryland Ave Ste 110
Glendale, CA 91206-4283
Phone (818) 551-0464

National Provider Directory

National Provider Directory

Locations

145 S Glenoaks Blvd
Burbank, CA 91502
Phone (213) 212-2837

NPI Registry JSON

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1972148369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MARYLAND AVE STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064283",
            "telephone_number": "818-551-0464",
            "fax_number": "818-551-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 BELLFLOWER BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131057",
            "telephone_number": "818-551-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING HOLISTIC MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-09",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "SPELLER",
        "authorized_official_first_name": "CRISTAL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-551-0464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.