MEDICARE: INTERNAL WELLNESS MEDICAL CENTER, INC.

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	207R00000X	Internal Medicine Physician	A42023	CA

General Provider Information

NPI Number	:	1427235142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNAL WELLNESS MEDICAL CENTER, INC.

Provider Business Mailing Address
First Line	:	2621 S BRISTOL ST STE 307
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-5719
Country	:	US
Telephone Number	:	714-918-3070
Fax Number	:	714-918-3073

Provider Business Practice Location Address
First Line	:	2621 S BRISTOL ST STE 307
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-5719
Country	:	US
Telephone Number	:	714-918-3070
Fax Number	:	714-918-3073

Authorized Official
Title or Position	:	CEO
Name	:	DR. ALAN C SCHWARTZ
Credential	:	MD
Telephone Number	:	714-918-3070

Provider Enumeration Date	:	01/24/2008
Last Update Date	:	10/29/2008

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