BROADWAY WELLNESS CENTER


Address: 706 W Broadway, Suite 100, Glendale, CA 91204-1032
Phone: 3239329352

BROADWAY WELLNESS CENTER (NPI# 1073953923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073953923
Entity Type Organization
Organization Name BROADWAY WELLNESS CENTER
Other Organization Name SERENITY SLEEP CENTERS
Practice Address 706 W Broadway
Suite 100
Glendale
CA 91204-1032
Practice Telephone 3239329352
Enumeration Date 2013-06-25
Last Update Date 2013-06-25
Authorized Official Name HENRY CONTRERAS (MANAGER)
Authorized Official Telephone 3239329352
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1200X Clinic/Center
Specialization: Sleep Disorder Diagnostic
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Serenity Sleep Centers Doing Business As Name - Organization

Office Location

Street Address 706 W BROADWAY
SUITE 100
City GLENDALE
State CA
Zip Code 91204-1032

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1053593657 Roseline Marie Dauphin Baptiste Specialist 706 W Broadway, Suite 201, Glendale, CA 91204-1032 2007-12-05

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Taxonomy Information

Taxonomy Code 261QS1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Sleep Disorder Diagnostic

Taxonomy Definition

Definition to come...

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Competitor

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City GLENDALE
Zip Code 91204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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