Yong At Heart Total Wellness
LBN: Yong At Heart Total Wellness Medical Corporation
Yong At Heart Total Wellness is an health care organization with primary practice located at 16838 Clark St Ste C , Encino CA 91436-1066. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Yong At Heart Total Wellness Medical Corporation can be contacted via phone (818) 789-0203, or through Yong, Marjorie Meiji via phone (310) 989-1892.
Contact Information
Primary practice address
16838 Clark St Ste C
Encino CA 91436-1066
Phone: (818) 789-0203
Fax: (818) 789-0208
Website:
Authorized official contact:
Name: Yong, Marjorie Meiji Doctor of Medicine (MD)
Phone: (310) 989-1892
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | A61406 | California |
Profile Details
| NPI number | 1669581393 |
|---|---|
| LBN Legal business name | Yong At Heart Total Wellness Medical Corporation |
| DBA Doing business as | Yong At Heart Total Wellness |
| Authorized official | Yong, Marjorie Meiji Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Mar 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669581393 | NPPES |
| California | Other | 11431045 | CAQH ID NUMBER |
| California | Other | 00A614060 | CAQH ID NUMBER |
| California | Other | 0007134338 | CAQH ID NUMBER |
| California | Other | 5596075 | CAQH ID NUMBER |
| California | Other | ZZ66803Z | CAQH ID NUMBER |
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