Provider Demographics
NPI:1972148369
Name:WELLBEING HOLISTIC MEDICINE INC
Entity type:Organization
Organization Name:WELLBEING HOLISTIC MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTAL
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SPELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH
Authorized Official - Phone:818-551-0464
Mailing Address - Street 1:230 N MARYLAND AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4283
Mailing Address - Country:US
Mailing Address - Phone:818-551-0464
Mailing Address - Fax:818-551-0462
Practice Address - Street 1:5841 BELLFLOWER BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713-1057
Practice Address - Country:US
Practice Address - Phone:818-551-0464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-09
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332900000XSuppliersNon-Pharmacy Dispensing Site
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty