Organization
J H WELLS M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H WELLS M.D. (PRESIDENT)
(562) 595-6543
Entity
Organization
Contact information
Practice address
2880 ATLANTIC AVE, SUITE 290, LONG BEACH, CA 90806-1714
(562) 595-6543
(562) 595-1414
Mailing address
2880 ATLANTIC AVE STE 290, LONG BEACH, CA 90806-1716
(562) 595-6543
(562) 595-1414
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
C33481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089080
—
CA
Enumeration date
06/21/2007
Last updated
08/22/2020
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