| Organization Name: | WELLNESS GROUP LLC |
| NPI Number: | 1386934628 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT MEISSNER (OWNER) |
| Mailing Address: | 1000 N Green Valley Pkwy Suite 440 Number 401 Henderson |
| State: | NV US |
| Postal Code: | 890746170 |
| Phone Number: | 8778867117 |
| Fax Number: | 7029433313 |
| NPI Enumeration Date: | 04/07/2011 |
| NPI Last Update Date: | 11/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A030285 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |