Healthcare Provider Details

I. General information

NPI: 1356066070
Provider Name (Legal Business Name): WELBE HEALTH HC SOCAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 05/24/2024
Certification Date: 05/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 E 4TH ST
LONG BEACH CA
90802-1831
US

IV. Provider business mailing address

440 N BARRANCA AVE # 4051
COVINA CA
91723-1722
US

V. Phone/Fax

Practice location:
  • Phone: 650-683-1469
  • Fax:
Mailing address:
  • Phone: 650-683-1469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW PATTERSON
Title or Position: PRESIDENT
Credential: MD
Phone: 619-961-5732