WELL MEDICAL, A PROFESSIONAL CORPORATION

SANTA MONICA, CA
NPI1699123737
Entity TypeOrganization
Authorized ContactILDAR FAZULYANOV
Chief Operating Officer
310-384-0970
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2016-05-31
Last Update Date2021-03-08
Business Address
WELL MEDICAL, A PROFESSIONAL CORPORATION
929 COLORADO AVE
SANTA MONICA, CA 90401-2716
Phone number: 424-221-5012
Mailing Address
WELL MEDICAL, A PROFESSIONAL CORPORATION
2280 SAWTELLE BLVD. # 101
LOS ANGELES, CA 90064
Phone number: 310-384-0970