Healthcare Provider Details

I. General information

NPI: 1629945613
Provider Name (Legal Business Name): LE MEILLEUR BEAUTY & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2741 HAMNER AVE STE 208
NORCO CA
92860-3630
US

IV. Provider business mailing address

2741 HAMNER AVE STE 208
NORCO CA
92860-3630
US

V. Phone/Fax

Practice location:
  • Phone: 951-427-1395
  • Fax: 951-427-1395
Mailing address:
  • Phone: 951-427-1395
  • Fax: 951-427-1395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVEN GROKE
Title or Position: CEO
Credential: MD
Phone: 951-587-3747