Provider Demographics
NPI:1548696503
Name:HEALTHWEST SOLUTIONS
Entity type:Organization
Organization Name:HEALTHWEST SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLESW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-417-5826
Mailing Address - Street 1:17870 NEWHOPE ST STE 104-276
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5439
Mailing Address - Country:US
Mailing Address - Phone:714-417-5826
Mailing Address - Fax:
Practice Address - Street 1:17870 NEWHOPE ST STE 104-276
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5439
Practice Address - Country:US
Practice Address - Phone:714-417-5826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty