Organization
MEDICAL WELLNESS GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE E LE ROY DC (CEO)
(760) 360-8700
Entity
Organization
Contact information
Practice address
41749 BROWNSTOWN DR, BERMUDA DUNES, CA 92203-1042
(760) 636-9893
Mailing address
41749 BROWNSTOWN DR, BERMUDA DUNES, CA 92203-1042
(760) 636-9893
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3978244
CA
Other
Enumeration date
01/26/2017
Last updated
08/17/2022
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