Organization
WELL BEING PHYSICIAN ASSISTANT MENTAL HEALTH INC.
Active
Other names
Well Being Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY THOMAS WHALL PA (OWNER)
(561) 358-9992
Entity
Organization
Contact information
Practice address
6613B BAY LAUREL PL, AVILA BEACH, CA 93424-3504
(561) 358-9992
Mailing address
1515 5TH ST, LOS OSOS, CA 93402-1611
(561) 358-9992
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19629550188
—
CA
Enumeration date
02/11/2022
Last updated
02/11/2022
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