Organization
ABSOLUTE WELLNESS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NENITA MEHLMAUER (AUTHORIZED OFFICIAL)
(619) 754-4955
Entity
Organization
Contact information
Practice address
1430 E PLAZA BLVD STE E18, NATIONAL CITY, CA 91950-3690
(619) 434-2813
(855) 631-3720
Mailing address
1430 E PLAZA BLVD STE E18, NATIONAL CITY, CA 91950-3690
(619) 434-2813
(855) 631-3720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073579173
—
CA
05
—
1700314978
—
CA
Enumeration date
06/19/2018
Last updated
06/19/2018
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