Organization
A WHOLE NEW YOU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN GONZALEZ (CEO)
(626) 267-2579
Entity
Organization
Contact information
Practice address
3443 ARDILLA AVE, BALDWIN PARK, CA 91706-5502
(626) 267-2579
Mailing address
170 E COLLEGE ST UNIT 204, COVINA, CA 91723-7008
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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