Healthcare Provider Details

I. General information

NPI: 1194717025
Provider Name (Legal Business Name): WECARE HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3746 WHITTIER BLVD
LOS ANGELES CA
90023-1704
US

IV. Provider business mailing address

3746 WHITTIER BLVD
LOS ANGELES CA
90023-1704
US

V. Phone/Fax

Practice location:
  • Phone: 323-261-3504
  • Fax: 323-261-1266
Mailing address:
  • Phone: 323-261-3504
  • Fax: 323-261-1266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY46603
License Number StateCA

VIII. Authorized Official

Name: GREG WAYNE TOM
Title or Position: CEO
Credential:
Phone: 626-573-4513