Organization
ANAHEIM HILLS WELLNESS CENTER, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY SUE ILLIONS BERRY D.O. (PRESIDENT)
(714) 221-2340
Entity
Organization
Contact information
Practice address
500 S ANAHEIM HILLS RD, SUITE 246, ANAHEIM HILLS, CA 92807-4780
(714) 221-2340
(714) 221-2299
Mailing address
500 S ANAHEIM HILLS RD, SUITE 246, ANAHEIM HILLS, CA 92807-4780
(714) 221-2340
(714) 221-2299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A7048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A7048
MEDICAL LIC
CA
Enumeration date
12/29/2005
Last updated
08/22/2020
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