Provider Demographics
NPI:1417184599
Name:1 COMMUNITY WELLNESS & HEALTH INC
Entity Type:Organization
Organization Name:1 COMMUNITY WELLNESS & HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:V
Authorized Official - Last Name:ABARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-960-5369
Mailing Address - Street 1:14461 MERCED AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-5174
Mailing Address - Country:US
Mailing Address - Phone:626-960-5369
Mailing Address - Fax:626-814-2156
Practice Address - Street 1:14461 MERCED AVE STE 203
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-5174
Practice Address - Country:US
Practice Address - Phone:626-960-5369
Practice Address - Fax:626-814-2156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33873207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty