| NPI | 1497262695 |
|---|---|
| Doing Business As | WELLNESSCLINIC |
| Entity Type | Organization |
| Authorized Contact | AE RAH KANG Np 714-784-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A4078) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-12-11 |