MEDICAL WELLNESS GROUP, INC. (NPI# 1063959187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063959187 |
| Entity Type | Organization |
| Organization Name | MEDICAL WELLNESS GROUP, INC. |
| Practice Address |
42575 Washington St Fl 2 Palm Desert CA 92211-8850 |
| Mailing Address |
41749 Brownstown Dr Bermuda Dunes CA 92203-1042 |
| Practice Telephone | 7603608700 |
| Mailing Telephone | 7606369893 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | DR. LAWRENCE E LE ROY (CEO) |
| Authorized Official Telephone | 7607714800 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 3978244 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7220 Trade St Ste 209, San Diego, CA 921212326 | 8588001006 | 8584083420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336680628 | Medical Wellness Group, Inc. | Durable Medical Equipment & Medical Supplies | 42575 Washington St Fl 2, Palm Desert, CA 92211-8850 | 2017-03-20 |
| Street Address |
42575 WASHINGTON ST FL 2 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92211-8850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427350149 | Lawrence E Le Roy IIi | Chiropractor | 42575 Washington St Fl 2, Palm Desert, CA 92211-8850 | 2010-12-01 |
| 1336680628 | Medical Wellness Group, Inc. | Durable Medical Equipment & Medical Supplies | 42575 Washington St Fl 2, Palm Desert, CA 92211-8850 | 2017-03-20 |
| 1780986406 | Le Roy Chiropractic Corporation | Chiropractor | 42575 Washington St Fl 2, Palm Desert, CA 92211-8850 | 2010-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
| 1003457607 | Catherine Krumplitsch | Technician | 41430 Kansas Street, Palm Desert, CA 92211 | 2019-10-04 |
| 1942702055 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 | 2018-03-05 |
| 1992248918 | West Coast Surgery Inc | Orthopaedic Surgery | 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 | 2016-11-22 |
| 1063963098 | Therese Tudor | Physical Therapist | 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 | 2016-10-14 |
| 1609249663 | John D Rasmussen | Anesthesiology | 160 Running Spring Drive, Palm Desert, CA 92211 | 2015-11-12 |
| 1033580113 | Executive Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 35450 Pegasus Ct, Palm Desert, CA 92211 | 2015-10-14 |
| 1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
| 1649686833 | Annamaria Valenzuela | Licensed Vocational Nurse | 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 | 2014-07-08 |
| 1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
| Find all providers in zip 92211 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1831623339 | World Gym of Palm Desert LLC | General Practice | 41651 Corporate Way, Suite 1, Palm Desert, CA 92260-1987 | 2017-04-12 |
| 1053670372 | H David Sacks Do A Professional Medical Corporation | General Practice | 44751 Village Ct, Suite 300, Palm Desert, CA 92260-3815 | 2012-05-07 |
| 1720394067 | Randy James Fedorchuk | General Practice | 74130 Country Club Dr Ste 103, Palm Desert, CA 92260-1687 | 2010-08-24 |
| 1144214636 | Marion Ray Windham | General Practice | 74990 Country Club Dr, Suite 310, Palm Desert, CA 92260-1991 | 2005-09-09 |
| 1174155386 | Circe Healthcare Solutions, Inc. | General Practice | 74000 Country Club Dr Ste G2, Palm Desert, CA 92260-1679 | 2020-02-05 |
| 1477971125 | Homayoun Siman | General Practice | 73211 Fred Waring Dr Ste 101, Palm Desert, CA 92260-2888 | 2014-03-31 |
| 1023282134 | Gilbert Mintz | General Practice | 74040 Highway 111, Ste 208, Palm Desert, CA 92260-4134 | 2008-04-18 |
| 1770752560 | Michael R Solomon | General Practice | 36923 Cook St, Suite 102, Palm Desert, CA 92211-6073 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| 1851913917 | St Bishoy Medical Group | General Practice | 8545 Saturn St Apt 103, Los Angeles, CA 90035-3658 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
| City | PALM DESERT |
| Zip Code | 92211 |
Please comment or provide details below to improve the information on MEDICAL WELLNESS GROUP, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.