FAMILY WELLNESS MEDICAL CORPORATION – NPI #1457530479
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

FAMILY WELLNESS MEDICAL CORPORATION is a provider located in SAN BERNARDINO, CA. NPPES has assigned the NPI number 1457530479 to FAMILY WELLNESS MEDICAL CORPORATION on October 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY WELLNESS MEDICAL CORPORATION below.

NPI Profile for
FAMILY WELLNESS MEDICAL CORPORATION

NPI Number
1457530479
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAMILY WELLNESS MEDICAL CORPORATION
Primary location
1909 S WATERMAN AVE
SUITE 3
SAN BERNARDINO, CA 92408
Phone: (909) 886-8420 Fax: (909) 886-8409
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BABATUNDE JUMADU
PRESIDENT/PRINCIPAL
Phone: (909) 886-8420
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
CA C38712

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.