| Mpg Wellness Initiative, Inc. | |
|
3723 El Dorado Blvd Apt 3 Palm Springs CA 92262-2139 | |
| (760) 836-4400 | |
| Not Available |
| Full Name | Mpg Wellness Initiative, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3723 El Dorado Blvd Apt 3, Palm Springs, California |
| Authorized Official Name and Position | Phillip Wade Frazer (CEO) |
| Authorized Official Contact | 7608364400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mpg Wellness Initiative, Inc. Po Box 51 Palm Springs CA 92263-0051 Ph: (760) 836-4400 | Mpg Wellness Initiative, Inc. 3723 El Dorado Blvd Apt 3 Palm Springs CA 92262-2139 Ph: (760) 836-4400 |
| NPI Number | 1164222568 |
|---|---|
| Provider Enumeration Date | 03/14/2025 |
| Last Update Date | 03/17/2025 |
| Certification Date | 03/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164222568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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