Four Wellness Clinic Inc

LBN: Four Wellness Clinic Inc
Four Wellness Clinic Inc is an health care organization with primary practice located at 21300 Sherman Way Ste 3 , Canoga Park CA 91303-3672. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Four Wellness Clinic Inc can be contacted via phone (818) 835-9039, or through Park, Richard via phone (818) 835-9039.

Contact Information

Primary practice address
21300 Sherman Way Ste 3 Canoga Park CA 91303-3672
Phone: (818) 835-9039
Fax: (818) 900-2478
Website:
Map and Directions
Authorized official contact:
Name: Park, Richard Doctor of Medicine (MD)
Phone: (818) 835-9039

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Family Planning, Non-Surgical 261QF0050X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1932816295
LBN Legal business name Four Wellness Clinic Inc
DBA Doing business as
Authorized official Park, Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2022
Last updated Nov 4th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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