NPI 1013246222

Green Wells Eecp Physical Therapy

Organisation Physical Disabilities Residential Treatment Facility Paramount, CA

Practice location

Address: 8602 Elburg Street APT C, Paramount, CA 90723
Phone: (310) 405-1478
Mailing address: 8602 Elburg St Unit C 7136 Pacific Blvd Suite 220, Paramount, CA 90723-8632

Authorised official

Name: Jared Jason Wells
Title: Owner/Chief Techician
Phone: (310) 405-1478

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in California →

Registry record

NPI: 1013246222
Entity type: Organization
NPI issued: 17 Dec 2009
Record last updated: 17 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.