Ponciano Wellness, Llc
LBN: Ponciano Wellness, Llc
Ponciano Wellness, Llc is an health care organization with primary practice located at 5212 Katella Ave Suite 202, Los Alamitos CA 90720-2828. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Ponciano Wellness, Llc can be contacted via phone (888) 568-5640, or through Lambdin, Roxana via phone (888) 568-5640.
Contact Information
Primary practice address
5212 Katella Ave Suite 202
Los Alamitos CA 90720-2828
Phone: (888) 568-5640
Fax: (562) 493-0922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY15130 | California |
Profile Details
| NPI number | 1790077543 |
|---|---|
| LBN Legal business name | Ponciano Wellness, Llc |
| DBA Doing business as | |
| Authorized official | Lambdin, Roxana PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2011 |
| Last updated | May 12th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790077543 | NPPES |
| Other | 1326094442 | NPPES |
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