| NPI | 1467073502 |
|---|---|
| Former Legal Business Name | KC WELLNESS MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NORMA MEJIA Owner/Authorized Official 661-549-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2025-03-13 |