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Organization
KATELLA WELLNESS CENTER INC
Active
Organization
KATELLA WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETSEGENET T AYELE M.D. (PHYSICIAN/OWNER)
(562) 598-0600
Entity
Organization
Contact information
Practice address
4152 KATELLA AVE STE 201, LOS ALAMITOS, CA 90720-6608
(562) 598-0600
(562) 598-0678
Mailing address
4152 KATELLA AVE STE 201, LOS ALAMITOS, CA 90720-6608
(562) 598-0600
(562) 598-0678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W18752
MEDICARE GROUP NUMBER
CA
Enumeration date
12/27/2005
Last updated
01/15/2026
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