Healthcare Provider Details
I. General information
NPI: 1578284170
Provider Name (Legal Business Name): BELLFLOWER HEALTH AND WELLNESS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9656 ALONDRA BLVD
BELLFLOWER CA
90706-3664
US
IV. Provider business mailing address
9656 ALONDRA BLVD
BELLFLOWER CA
90706-3664
US
V. Phone/Fax
- Phone: 562-867-2767
- Fax: 866-306-4360
- Phone: 562-867-2767
- Fax: 866-306-4360
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CONSUELO
NUNEZ
Title or Position: OWNER
Credential:
Phone: 562-867-2767