Organization
BE WELL NOW INSTITUTUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW M VELASQUEZ PHD, DAC (EXECUTIVE DIRECTOR)
(310) 324-0447
Entity
Organization
Contact information
Practice address
20710 LEAPWOOD AVE, SUITE C, CARSON, CA 90746-3642
(310) 324-0447
Mailing address
20710 LEAPWOOD AVE, SUITE C, CARSON, CA 90746-3642
(310) 324-0447
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
190467AN
—
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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