BEVERLY HILLS WELLNESS PHYSICIANS CORP (NPI# 1447616198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447616198 |
| Entity Type | Organization |
| Organization Name | BEVERLY HILLS WELLNESS PHYSICIANS CORP |
| Practice Address |
1703 N Avalon Blvd Wilmington CA 90744-1432 |
| Practice Telephone | 8185185980 |
| Practice Fax Number | 8183372049 |
| Mailing Telephone | 8185185980 |
| Mailing Fax Number | 8183372049 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |
| Authorized Official Name | LYNN J GOODLOE (PRESIDENT) |
| Authorized Official Telephone | 8185185980 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053705228 | Beverly Hills Wellness Physicians Corp | Otolaryngology | 701 E 28th St Ste 100, Long Beach, CA 90806-2769 | 2015-03-25 |
| 1366808016 | Beverly Hills Wellness Physicians Corp | Pharmacy | 701 E 28th St Ste 100, Long Beach, CA 90806-2769 | 2016-01-11 |
| Street Address |
1703 N AVALON BLVD |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831718022 | Rise of The Phoenix Whole Health Center | Acupuncturist | 1703 N Avalon Blvd, Wilmington, CA 90744-1432 | 2020-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265700777 | Cape Fear Clinic Pharmacy | Pharmacy | 1605 Doctors Cir, Wilmington, NC 28401-7405 | 2011-12-12 |
| 1770608333 | County of Los Angeles-auditor Controller | Pharmacy | 1325 Broad Ave, Wilmington, CA 90744-2604 | 2007-03-20 |
| 1902934292 | New Hanover County | Pharmacy | 1650 Greenfield St, Wilmington, NC 28401-6456 | 2007-03-01 |
| 1942368147 | Medical Center Pharmacy of Wilmington Inc | Pharmacy | 2421 Silver Stream Lane, Wilmington, NC 28401-7645 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491180 | Omni Family Health | Pharmacy | 4646 N. 1st Street, Fresno, CA 93726-0973 | 2020-09-11 |
| 1083240048 | Michael Anthony Abram | Pharmacy | 3240 Beck Rd, Lompoc, CA 93436-8301 | 2020-03-20 |
| 1043843428 | Community Medical Centers Inc | Pharmacy | 7912 West Lane, Ste. 221, Room 102, Stockton, CA 95210-3159 | 2020-02-13 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1700242419 | Pacific Rejuvination Medical A Professional Corp | Pharmacy | 7230 Medical Center Dr Ste 100, West Hills, CA 91307-4001 | 2016-01-11 |
| 1174923684 | Planned Parenthood Mar Monte, Inc. | Pharmacy | 1032 A Street, Hayward, CA 94541-4106 | 2014-09-03 |
| 1306263264 | University of Southern California | Pharmacy | 830 S Flower St, Los Angeles, CA 90017-4608 | 2014-03-27 |
| 1730428293 | Mission City Community Network Inc | Pharmacy | 8527 Sepulveda Blvd Ste 131, North Hills, CA 91343-5824 | 2013-02-04 |
| 1700158797 | Van Masteranna Billing Service, Inc | Pharmacy | 22631 Pacific Coast Hwy # 793, Malibu, CA 90265-5036 | 2012-02-06 |
| 1730469321 | Burg Health Pharmacy | Pharmacy | 2666 Mount Vernon Ave, Bakersfield, CA 93306-2973 | 2011-08-26 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
Please comment or provide details below to improve the information on BEVERLY HILLS WELLNESS PHYSICIANS CORP.
| 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.