Organization
NEW MILLENNIUM INSTITUTE OF WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL WHITE NP (OFFICE MANAGER)
(310) 670-9344
Entity
Organization
Contact information
Practice address
5601 W SLAUSON AVE, SUITE 234, CULVER CITY, CA 90230-6582
(310) 670-9344
(310) 670-9376
Mailing address
5601 W SLAUSON AVE, SUITE 234, CULVER CITY, CA 90230-6582
(310) 670-9344
(310) 670-9376
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
23007
CA
261Q00000X
Clinic/Center
393487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588866149
NPI
CA
Enumeration date
07/17/2015
Last updated
07/17/2015
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