Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Well Medical, a Professional Corporation

Organization Physical Therapist · NPI 1699123737

Well Medical, a Professional Corporation is a Physical Therapist in Santa Monica, California. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

929 Colorado Ave
Santa Monica, CA 90401-2716
Phone: (424) 221-5012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1699123737
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ildar Fazulyanov — Chief Operating Officer · (310) 384-0970
NPI enumeratedMay 31, 2016
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021
Mailing address2280 Sawtelle Blvd. # 101, Los Angeles, CA 90064

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