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NPI Code Detail

MEDICARE: TRANSGENDER HEALTH AND WELLNESS CENTER

MEDICARE: TRANSGENDER HEALTH AND 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
1171M00000XCase Manager/Care Coordinator
2172V00000XCommunity Health Worker
3261QM1300XMulti-Specialty Clinic/Center
4261QC1500XCommunity Health Clinic/Center

General Provider Information

NPI Number : 1942016662
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSGENDER HEALTH AND WELLNESS CENTER
Provider Business Mailing Address
First Line : 340 S FARRELL DR STE A208
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7931
Country : US
Telephone Number : 760-202-4308
Fax Number :
Provider Business Practice Location Address
First Line : 340 S FARRELL DR STE A208
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7931
Country : US
Telephone Number : 760-202-4308
Fax Number : 760-818-8025
Authorized Official
Title or Position : CEO/FOUNDER
Name : THOMI CLINTON
Credential :
Telephone Number : 760-202-4308
Provider Enumeration Date : 12/06/2024
Last Update Date : 12/06/2024

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Directions to “TRANSGENDER HEALTH AND WELLNESS CENTER ” Practice Location

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