Provider Demographics
NPI:1023733029
Name:ALPHAPED PEDIATRIC WELLNESS GROUP
Entity type:Organization
Organization Name:ALPHAPED PEDIATRIC WELLNESS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:GIANINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEK
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:626-342-4530
Mailing Address - Street 1:1517 S CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3026
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1517 S CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3026
Practice Address - Country:US
Practice Address - Phone:626-342-4530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service