Source Point Wellness is a
Clinic/center - Primary Care based in Los Angeles, California. Source Point Wellness is licensed to practice in * (Not Available) (license number ) and their current practice location is
3036 Glendale Blvd, Los Angeles, California. It can be reached at their office (for appointments etc.) via phone at
(424) 835-0884.
NPI number for Source Point Wellness is 1245610195 and their current mailing address is 3036 Glendale Blvd, Los Angeles, California. Source Point Wellness
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1245610195.
Healthcare Provider's Profile
| Full Name | Source Point Wellness |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Primary Care |
|---|
| Location | 3036 Glendale Blvd, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245610195
- Provider Enumeration Date: 06/05/2015
- Last Update Date: 06/26/2020
Medical Identifiers
Medical identifiers for Source Point Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245610195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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. Source Point Wellness 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 |
|---|
Source Point Wellness
3036 Glendale Blvd,
Los Angeles, CA 90039
Ph: (424) 835-0884 | Source Point Wellness
3036 Glendale Blvd,
Los Angeles, CA 90039
Ph: (424) 835-0884 |
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