# BIEN WELLNESS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bien Wellness INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891396347
- **Authorized official:** TINA MAHSEREJIAN (ADMINISTERATOR)
- **Authorized official phone:** (626) 376-6804

## Contact information

- **Practice address:** 15508 S NORMANDIE AVE, GARDENA, CA 90247-4014
- **Practice address phone:** (310) 523-3747
- **Mailing address:** 15508 S NORMANDIE AVE, GARDENA, CA 90247-4014
- **Mailing address phone:** (310) 523-3747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/02/2020
- **Last updated:** 11/02/2020
