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Organization
INNOVATIVE WELLNESS MEDICAL, INC.
Active
Organization
INNOVATIVE WELLNESS MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE QUYNH DANG DC (PRESIDENT)
(714) 336-7536
Entity
Organization
Contact information
Practice address
11525 BROOKSHIRE AVE STE 205, DOWNEY, CA 90241-4982
(323) 504-2313
(714) 369-2641
Mailing address
PO BOX 164, HUNTINGTON BEACH, CA 92648-0164
(323) 504-2313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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