Healthcare Provider Details

I. General information

NPI: 1326865668
Provider Name (Legal Business Name): BE WELL BERLIN A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2024
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8671 WILSHIRE BLVD STE 701
BEVERLY HILLS CA
90211-2913
US

IV. Provider business mailing address

440 N BARRANCA AVE # 3666
COVINA CA
91723-1722
US

V. Phone/Fax

Practice location:
  • Phone: 310-810-3666
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ISAAC MENDYL BERLIN
Title or Position: PRESIDENT
Credential: FNP-C
Phone: 310-810-3666