Port Medical Wellness, Inc. is a
Orthopaedic Surgery based in Wilmington, California. Port Medical Wellness, Inc. is licensed to practice in * (Not Available) (license number ) and their current practice location is
512 N Avalon Blvd, Wilmington, California. It can be reached at their office (for appointments etc.) via phone at
(310) 816-2943.
NPI number for Port Medical Wellness, Inc. is 1104077569 and their current mailing address is Po Box 128, C/o Stella Redenski, Pacific Palisades, California. Port Medical Wellness, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1104077569.
Healthcare Provider's Profile
Full Name | Port Medical Wellness, Inc. |
---|
Type | Facility |
---|
Speciality | Orthopaedic Surgery |
---|
Location | 512 N Avalon Blvd, Wilmington, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104077569
- Provider Enumeration Date: 10/03/2008
- Last Update Date: 10/14/2008
Medical Identifiers
Medical identifiers for Port Medical Wellness, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104077569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Port Medical Wellness, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Port Medical Wellness, Inc. Po Box 128, C/o Stella Redenski, Pacific Palisades, CA 90272-0128 Ph: (310) 522-5811 | Port Medical Wellness, Inc. 512 N Avalon Blvd, Wilmington, CA 90744-5806 Ph: (310) 816-2943 |
Reviews and Comments