| NPI | 1932647716 |
|---|---|
| Doing Business As | WELLNESS-NEWPORT CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN BENNETT Chief Administration Officer 714-449-4942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |