Organization
BIEN WELLNESS INC
Active
Other names
Bien Wellness INC
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MAHSEREJIAN (ADMINISTERATOR)
(626) 376-6804
Entity
Organization
Contact information
Practice address
15508 S NORMANDIE AVE, GARDENA, CA 90247-4014
(310) 523-3747
Mailing address
15508 S NORMANDIE AVE, GARDENA, CA 90247-4014
(310) 523-3747
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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