Health Wellness Medical Clinic

Restricted

Health Wellness Medical Clinic is subject to Restricted. See the individual lists below.

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Addresses

Address 1 : 4405 S MAIN STREET

Address 2 : 4405 S. Main St., Los Angeles, CA

ID Details

ID NUMBER : FNP24537

ID TYPE : provider_number

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Health Wellness Medical Clinic Sanctioned By Below Authorities

List Name	List Authority	Effective Date ▼	Status
Suspended and Ineligible Provider List by California Department of Health Care Services	The California Department of Health Care Services	Jun 20, 2005	active
General List of Individuals/Entities Excluded from Federal Health and Medicare Programs	U.S. Department of Health and Human Services	Jun 20, 2005	active