Organization
BE WELL NOW INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW M VELASQUEZ PH.D (EXECUTIVE DIRECTOR)
(310) 324-0447
Entity
Organization
Contact information
Practice address
20710 LEAPWOOD AVE STE C, CARSON, CA 90746-3646
(310) 324-0447
(310) 324-0147
Mailing address
20710 S. LEAPWOOD AVE. STE. C, CARSON, CA 90746-3642
(310) 324-0447
(310) 324-0147
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
53198A
CA
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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