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Organization
MEGA WELLNESS CLINIC NURSING PRACTITIONER INC
Active
Organization
MEGA WELLNESS CLINIC NURSING PRACTITIONER INC
Active
Other names
wellnessclinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AE RAH KANG NURSE PRACTITIONER (NP)
(714) 784-6767
Entity
Organization
Contact information
Practice address
432 S BREA BLVD, BREA, CA 92821-5301
(714) 784-6767
(714) 784-6757
Mailing address
432 S BREA BLVD, BREA, CA 92821-5301
(714) 784-6767
(714) 784-6757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A4078
CA
363LF0000X
Family Nurse Practitioner
Primary
18049
CA
Other
Enumeration date
01/09/2018
Last updated
12/11/2018
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