National Provider Identifier Database

FAMILY WELLNESS MEDICAL CORPORATION
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

FAMILY WELLNESS MEDICAL CORPORATION
3582 NATIONAL AVE
SUITE #2
SAN DIEGO, CA92113-3157
Phone: 619-338-0787
Fax: 619-338-0782
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for FAMILY WELLNESS MEDICAL CORPORATION

NPI Number 1548449564
Legal business name
LBN
FAMILY WELLNESS MEDICAL CORPORATION
Authorized official BABATUNDE JINADU - (PRESIDENT/PRINCIPAL)
Entity Organization
Organization subpart No
Enumeration date 10/26/2007
Last updated 12/10/2009 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: C038721

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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