Organization · Type 2 NPI
Back To Life Wellness Center Inc.
Clinic/Center · San Pedro, CA
NPI number
1629613971
Active
Practice location
445 W 7th St Ste C
San Pedro, CA 90731-3216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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- Laron Phillips, MD PCClinic/Center San Pedro, CA NPI 1720732480
- Robert Allen GrothClinic/Center San Pedro, CA NPI 1851501860
- Shoreline Wellness MultiClinic/Center San Pedro, CA NPI 1851759070
About NPI 1629613971
Back To Life Wellness Center Inc.'s National Provider Identifier is 1629613971, issued on Nov 11, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Pedro, CA. The record was last updated on Nov 11, 2019.