Organization
BE WELLNESS GROUP, INC
Active
Other names
Be Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
TATE BAKER (FOUNDER)
(858) 688-4410
Entity
Organization
Contact information
Practice address
1792 W WASHINGTON ST, SAN DIEGO, CA 92103-3766
(858) 688-4410
Mailing address
2027 BROADWAY, SAN DIEGO, CA 92102-1826
(858) 688-4410
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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