MEDICARE: BE WELL BERLIN A PROFESSIONAL NURSING CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1326865668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BE WELL BERLIN A PROFESSIONAL NURSING CORPORATION

Provider Business Mailing Address
First Line	:	440 N BARRANCA AVE # 3666
Second Line	:
City	:	COVINA
State	:	CA
Zip	:	91723-1722
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8671 WILSHIRE BLVD STE 701
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2913
Country	:	US
Telephone Number	:	310-810-3666
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ISAAC MENDYL BERLIN
Credential	:	FNP-C
Telephone Number	:	310-810-3666

Provider Enumeration Date	:	09/25/2024
Last Update Date	:	11/15/2025

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