| NPI | 1740606201 |
|---|---|
| Doing Business As | COMMUNITY CARE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SHELIA DIANE ABBY Operations Manager 310-462-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 10891) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |