Healthcare Provider Details
I. General information
NPI: 1801243704
Provider Name (Legal Business Name): BEE WELL HOLISTIC WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5841 BELLFLOWER BLVD
LAKEWOOD CA
90713-1057
US
IV. Provider business mailing address
5841 BELLFLOWER BLVD
LAKEWOOD CA
90713-1057
US
V. Phone/Fax
- Phone: 562-867-3000
- Fax:
- Phone: 562-867-3000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC30251 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC12898 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC5789 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
BRIJESH
PATEL
Title or Position: OWNER
Credential: D.C.
Phone: 562-867-3000