Organization
WORKSITE WELLNESS LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS PARDO (PRESIDENT/CEO)
(323) 758-9480
Entity
Organization
Contact information
Practice address
5955 S WESTERN AVE, LOS ANGELES, CA 90047-1124
(323) 758-9480
(323) 758-8348
Mailing address
5955 S WESTERN AVE, LOS ANGELES, CA 90047-1124
(323) 758-9480
(323) 758-8348
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/31/2012
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