Organization
BE WELL CENTERS OF SOUTHERN CALIFORNIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SUNGHO AHN MD (CEO)
(760) 987-0431
Entity
Organization
Contact information
Practice address
7801 CENTER AVE STE 103, HUNTINGTON BEACH, CA 92647-9112
(714) 230-2440
(714) 230-2441
Mailing address
5073 CENTRAL AVE UNIT 1646, BONITA, CA 91908-1646
(760) 987-0431
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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