MEDICARE: BEE WELL HOLISTIC WELLNESS CENTER

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	171100000X	Acupuncturist	AC12898	CA
2	171100000X	Acupuncturist	AC5789	CA
3	111N00000X	Chiropractor	DC30251	CA

General Provider Information

NPI Number	:	1801243704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEE WELL HOLISTIC WELLNESS CENTER

Provider Business Mailing Address
First Line	:	5841 BELLFLOWER BLVD
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90713-1057
Country	:	US
Telephone Number	:	562-867-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5841 BELLFLOWER BLVD
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90713-1057
Country	:	US
Telephone Number	:	562-867-3000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRIJESH PATEL
Credential	:	D.C.
Telephone Number	:	562-867-3000

Provider Enumeration Date	:	05/20/2016
Last Update Date	:	08/31/2016

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