Powersmd Wellness Medical Group
LBN: Powersmd Wellness Medical Group
Powersmd Wellness Medical Group is an health care organization with primary practice located at 428 Main St Suite 101, Huntington Beach CA 92648-8142. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Powersmd Wellness Medical Group can be contacted via phone (714) 843-0400, or through Powers, Thomas via phone (714) 843-0400.
Contact Information
Primary practice address
428 Main St Suite 101
Huntington Beach CA 92648-8142
Phone: (714) 843-0400
Fax: (714) 969-4001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | G15640 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G15640 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | G15640 | California |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | G15640 | California |
Profile Details
| NPI number | 1740612134 |
|---|---|
| LBN Legal business name | Powersmd Wellness Medical Group |
| DBA Doing business as | |
| Authorized official | Powers, Thomas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 7th, 2013 |
| Last updated | Sep 23rd, 2013 - about 13 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 | 1740612134 | NPPES |
| California | Other | A119702 | MEDICAL LICENSE |
| California | Other | G15640 | MEDICAL LICENSE |
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