Organization · Type 2 NPI
Google Wellness Center, 321
Non-Pharmacy Dispensing Site · Venice, CA
NPI number
1104193192
Active
Practice location
321 Hampton Dr
Venice, CA 90291-2696
Fax (650) 253-2302
Mailing address
321 Hampton Dr.
Venice, CA 90291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | A 73520 (CA) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
About NPI 1104193192
Google Wellness Center, 321's National Provider Identifier is 1104193192, issued on Nov 19, 2011. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Venice, CA. The record was last updated on Nov 19, 2011.