| NPI | 1750821781 |
|---|---|
| Doing Business As | PROSPERITY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: WA 168900) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2024-01-02 |