Pismo Wellness Inc., A Professional Medical Corporation

LBN: Pismo Wellness Inc., A Professional Medical Corporation
Pismo Wellness Inc., A Professional Medical Corporation is an health care organization with primary practice located at 8500 Wilshire Blvd Suite 103, Beverly Hills CA 90211. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Pismo Wellness Inc., A Professional Medical Corporation can be contacted via phone (424) 307-9504, or through Martori, Jessie via phone (602) 920-4290.

Contact Information

Primary practice address
8500 Wilshire Blvd Suite 103 Beverly Hills CA 90211
Phone: (424) 307-9504
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martori, Jessie
Phone: (602) 920-4290

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1841765674
LBN Legal business name Pismo Wellness Inc., A Professional Medical Corporation
DBA Doing business as
Authorized official Martori, Jessie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2018
Last updated Feb 14th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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