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General NPI Number Information
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NPI Number | 1518944032
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Entity Type | Organization
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Legal Business Name | KATELLA WELLNESS CENTER INC
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 4152 KATELLA AVE STE 201
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-6608
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Country | US
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Telephone | 562-598-0600
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Fax | 562-598-0678
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Provider Business Mailing Address
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Address Line | 4152 KATELLA AVE STE 201
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-6608
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Country | US
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Telephone | 562-598-0600
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Fax | 562-598-0678
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | ETSEGENET T AYELE
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Credential | M.D.
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Telephone | 562-598-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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