Active NPI
Healthy Medical Wellness, Inc.
- Clinic/Center
- Riverside, CA
National Provider Identifier
1982303079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- HEALTHY MEDICAL WELLNESS, INC.
- Practice address
- 4193 Flat Rock Dr Ste 200
Riverside, CA 92505-7113 - Phone
- (626) 208-9377
- NPI assigned
- Feb 27, 2023
- 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
- Brandy Liu, DO
- Title
- Physician
- Phone
- (626) 208-9377
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
4193 Flat Rock Dr Ste 200
Riverside, CA 92505-7113
Mailing address
5120 Hamner Ave
Ste 140 #568
Eastvale, CA 91752
Phone (626) 208-9377
Other names 1
- Healthy Medical Wellness
National Provider Directory
National Provider DirectoryLocations
5120 Hamner Ave
Ste 140
Eastvale, CA 91752
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obesity Medicine (Preventive Medicine) Physician
- San Francisco, CA
- NPI 1093150559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1982303079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 HAMNER AVE",
"address_2": "STE 140 #568",
"city": "EASTVALE",
"state": "CA",
"postal_code": "91752",
"telephone_number": "626-208-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4193 FLAT ROCK DR STE 200",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925057113",
"telephone_number": "626-208-9377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY MEDICAL WELLNESS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "LIU",
"authorized_official_first_name": "BRANDY",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "626-208-9377",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Healthy Medical Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.