Organization
CENTER FOR PERSONAL WELLBEING MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH M IRVIN (BILLER)
(714) 366-1501
Entity
Organization
Contact information
Practice address
4519 ROSEMEAD BLVD, ROSEMEAD, CA 91770-1476
(626) 308-9784
Mailing address
4519 ROSEMEAD BLVD, ROSEMEAD, CA 91770-1476
(626) 308-9784
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G78933
CA
Other
Enumeration date
08/20/2010
Last updated
08/27/2010
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