Provider Demographics
NPI:1306498704
Name:YOU & ME WELLNESS, APC
Entity type:Organization
Organization Name:YOU & ME WELLNESS, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DO
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:YUSUN
Authorized Official - Last Name:WON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-645-9679
Mailing Address - Street 1:4221 WILSHIRE BLVD STE 311
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3537
Mailing Address - Country:US
Mailing Address - Phone:323-917-5155
Mailing Address - Fax:323-917-5156
Practice Address - Street 1:4221 WILSHIRE BLVD STE 311
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-3537
Practice Address - Country:US
Practice Address - Phone:323-917-5155
Practice Address - Fax:323-917-5156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-15
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A15920OtherLICENCE