Provider Demographics
NPI:1184238933
Name:EPILEPSY RHEUMATOLOGY AND ARTHRITIS SPECIALTY WELLNESS CENTER PC
Entity type:Organization
Organization Name:EPILEPSY RHEUMATOLOGY AND ARTHRITIS SPECIALTY WELLNESS CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUMAYUN
Authorized Official - Middle Name:N
Authorized Official - Last Name:BEG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-825-7371
Mailing Address - Street 1:13033 SIGNATURE PT
Mailing Address - Street 2:APT 180
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130
Mailing Address - Country:US
Mailing Address - Phone:314-825-7371
Mailing Address - Fax:866-777-8553
Practice Address - Street 1:477 N EL CAMINO REAL
Practice Address - Street 2:STE C208
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1332
Practice Address - Country:US
Practice Address - Phone:314-825-7371
Practice Address - Fax:866-777-8553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty