institution
Divine Elysian Wellness
Health Service Clinic/Center in Rancho Palos Verdes, California
NPI 1992413827

Divine Elysian Wellness is a Health Service Clinic/Center based in Rancho Palos Verdes, CA and is specialized in Health Service. Divine Elysian Wellness practices in Rancho Palos Verdes, CA. The NPI Number for Divine Elysian Wellness is 1992413827 and holds a License No. (California).

The current practice location address for Divine Elysian Wellness is 28901 S Western Ave Ste 225, Rancho Palos Verdes, CA and can be reached out via phone at 310-924-9241.

Location: 28901 S Western Ave Ste 225, Rancho Palos Verdes, CA, 90275-0824
institution
Provider Profile Details
NPI Number
1992413827
Provider Name
Divine Elysian Wellness
Credential
Provider Entity Type
Organization
Address
28901 S Western Ave Ste 225, Rancho Palos Verdes, CA, 90275-0824
Phone Number
310-924-9241
Fax Number
Provider Enumeration Date
11/09/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1568811271 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
28901 S Western Ave Ste 225
City
State
Zip
90275-0824
Phone Number
310-924-9241
Fax Number
person
Provider Business Mailing Address Details
Address
28901 S Western Ave Ste 225
City
State
Zip
90275-0824
Phone Number
310-924-9241
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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