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Organization
CENTER FOR WELLNESS
Active
Organization
CENTER FOR WELLNESS
Active
Other names
Optimal Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE L MORENO D.O. (PRACTITIONER / PHYSICIAN)
(323) 726-6289
Entity
Organization
Contact information
Practice address
420 N MONTEBELLO BLVD, 300, MONTEBELLO, CA 90640-4268
(323) 726-6289
(323) 726-6767
Mailing address
420 N MONTEBELLO BLVD, 300, MONTEBELLO, CA 90640-4268
(323) 726-6289
(323) 726-6767
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
—
NULL
175L00000X
Homeopath
—
—
204R00000X
Electrodiagnostic Medicine Physician
—
NULL
204R00000X
Electrodiagnostic Medicine Physician
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
NULL
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
NULL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
20A6911
CA
Other
Enumeration date
01/25/2012
Last updated
06/28/2021
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