Organization
INDIVIDUALIZED WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARNETT JOHN WESLEY JR GRIER MD (OWNER)
(818) 649-1611
Entity
Organization
Contact information
Practice address
501 W GLENOAKS BLVD STE 200, GLENDALE, CA 91202-4045
(818) 649-1611
(818) 649-1613
Mailing address
501 W GLENOAKS BLVD STE 200, GLENDALE, CA 91202-4045
(818) 649-1611
(818) 649-1613
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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