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Organization
BE WELL CENTERS OF SOUTHERN CALIFORNIA, INC.
Active
Organization
BE WELL CENTERS OF SOUTHERN CALIFORNIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SUNGHO AHN MD (CEO)
(760) 987-0431
Entity
Organization
Contact information
Practice address
7801 CENTER AVE STE 103, HUNTINGTON BEACH, CA 92647-9112
(714) 230-2440
(714) 230-2441
Mailing address
5073 CENTRAL AVE UNIT 1646, BONITA, CA 91908-1646
(760) 987-0431
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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