Organization · Type 2 NPI
Family Wellness Medical Corporation
Pediatric Adolescent Medicine Physician · San Bernardino, CA
NPI number
1457530479
Active
Practice location
1909 S Waterman Ave, Suite 3
San Bernardino, CA 92408
Fax (909) 886-8409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | C38712 (CA) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
About NPI 1457530479
Family Wellness Medical Corporation's National Provider Identifier is 1457530479, issued on Oct 26, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in San Bernardino, CA. The record was last updated on Oct 26, 2007.