NPI Code Details Logo

NPI 1629945613

NPI 1629945613 : LE MEILLEUR BEAUTY & WELLNESS : NORCO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1629945613
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LE MEILLEUR BEAUTY & WELLNESS 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/22/2025
-----------------------------------------------------
    Last Update Date     |    10/28/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2741 HAMNER AVE STE 208 
-----------------------------------------------------
    City                 |    NORCO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92860-3630
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    951-427-1395
-----------------------------------------------------
    Fax                  |    951-427-1395
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2741 HAMNER AVE STE 208 
-----------------------------------------------------
    City                 |    NORCO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92860-3630
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    951-427-1395
-----------------------------------------------------
    Fax                  |    951-427-1395
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     STEVEN  GROKE 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    951-587-3747
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207VG0400X
-----------------------------------------------------
    Taxonomy Name        |    Gynecology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2083B0002X
-----------------------------------------------------
    Taxonomy Name        |    Obesity Medicine (Preventive Medicine) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    208D00000X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207RE0101X
-----------------------------------------------------
    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    261QM2500X
-----------------------------------------------------
    Taxonomy Name        |    Medical Specialty Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.