A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Independent Medical Examiner |
202C00000X | |||
Mental Health |
101YM0800X | |||
Phlebotomy |
246RP1900X | |||
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology |
| NPI # | 1225651136 |
| LBN Legal business name | WELLCARE CLINICAL SERVICES LLC |
| Authorized official | AURORA LUNA - (PHYSICIAN/OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/26/2020 |
| Last updated | 07/07/2020 - About 6 years ago |
| Identifiers | n/a |
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WELLCARE CLINICAL SERVICES LLC
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