Provider Demographics
NPI:1508498213
Name:BE WELL ENDOCRINOLOGY, INC.
Entity Type:Organization
Organization Name:BE WELL ENDOCRINOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDZEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-709-0676
Mailing Address - Street 1:35968 ANDES WAY
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-4927
Mailing Address - Country:US
Mailing Address - Phone:909-709-0676
Mailing Address - Fax:
Practice Address - Street 1:35968 ANDES WAY
Practice Address - Street 2:
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399-4927
Practice Address - Country:US
Practice Address - Phone:909-709-0676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty