| Back To Life Wellness Center Inc. | |
|
445 W 7th St Ste C San Pedro CA 90731-3216 | |
| (310) 755-0324 | |
| Not Available |
| Full Name | Back To Life Wellness Center Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 445 W 7th St Ste C, San Pedro, California |
| Authorized Official Name and Position | Princeton Nguyen (PRESIDENT) |
| Authorized Official Contact | 3108723588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back To Life Wellness Center Inc. 445 W 7th St Ste C San Pedro CA 90731-3216 Ph: (310) 755-0324 | Back To Life Wellness Center Inc. 445 W 7th St Ste C San Pedro CA 90731-3216 Ph: (310) 755-0324 |
| NPI Number | 1629613971 |
|---|---|
| Provider Enumeration Date | 11/11/2019 |
| Last Update Date | 11/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629613971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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