| NPI | 1215540836 |
|---|---|
| Former Legal Business Name | WELLCARE HEALTH CENTER MED GROUP INC, |
| Former Legal Business Name | WELLCARE CENTER MED GROUP INC, |
| Entity Type | Organization |
| Authorized Contact | VERONICA BAGHDASARYAN Office Manager 818-484-7092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-12-09 |