Nourishing Wellness Inc
NPI 1336321520ActiveOrganization· Internal Medicine· Redondo Beach, CA
Internal Medicine in Redondo Beach, California, registered in NPPES in November 2007. The authorized official on file is Allen Peters, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336321520 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2007 |
| Last updated in NPPES | Apr 15, 2020 |
| Certified by provider | Apr 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | G16945 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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