Active NPI
Wellbeing Holistic Medicine Inc
- Non-Pharmacy Dispensing Site
- Lakewood, CA
National Provider Identifier
1972148369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.