Healthcare Provider Details

I. General information

NPI: 1780521567
Provider Name (Legal Business Name): WEL-MOR PSYCHOLOGY GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17822 BEACH BLVD STE 278
HUNTINGTON BEACH CA
92647-7180
US

IV. Provider business mailing address

4019 WESTERLY PL STE 102
NEWPORT BEACH CA
92660-2333
US

V. Phone/Fax

Practice location:
  • Phone: 714-540-9070
  • Fax:
Mailing address:
  • Phone: 714-540-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID WELCH
Title or Position: DIRECTOR
Credential:
Phone: 714-540-9070