Provider Demographics
NPI:1720807753
Name:MEDPOINT WHOLE HEALTH
Entity type:Organization
Organization Name:MEDPOINT WHOLE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:NWANDU
Authorized Official - Last Name:NWOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-545-8333
Mailing Address - Street 1:1704 W MANCHESTER AVE STE 103A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-3056
Mailing Address - Country:US
Mailing Address - Phone:323-305-1420
Mailing Address - Fax:323-305-1420
Practice Address - Street 1:1704 W MANCHESTER AVE STE 103A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-3056
Practice Address - Country:US
Practice Address - Phone:323-305-1420
Practice Address - Fax:323-305-1420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Multi-Specialty