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WONDERMED OF CALIFORNIA, INC
NPI 1639824105
Family Medicine in Venice, CA

Active since February 14, 2022
828 CRESTMOORE PL, VENICE, CA 90291(310) 692-1469 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wondermed Of California, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WONDERMED OF CALIFORNIA, INC (NPI 1639824105) is a healthcare organization registered as a family medicine in Venice, California and active in the NPI registry since February 2022. The organization maintains a secondary practice location in Marina Del Rey and lists Santino Labate, Compliance, as its authorized official.

NPPES Registry Identity

NPI1639824105
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWONDERMED OF CALIFORNIA, INC
Location Address828 CRESTMOORE PLVenice, CA 90291-4931
Mailing Address828 Crestmoore PlVenice, CA 90291-4931 · (310) 692-1469
Phone(310) 692-1469
Organization SubpartNo
Authorized OfficialSantino LabateCompliance · (949) 201-6090
Enumeration DateFebruary 14, 2022
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1639824105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
828 CRESTMOORE PL, Venice, CA 90291
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Secondary Practice Location 1

Location 1333 Washington Blvd # 130Marina Del Rey, CA 90292-5152 · Phone (310) 692-1469

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WONDERMED OF FLORIDA, INC
Psychiatry & Neurology (Psychiatry)
828 CRESTMOORE PL
VENICE, CA 90291
Los Angeles County (424) 410-8475
WONDERMED OF TEXAS, P.A.
Psychiatry & Neurology (Psychiatry)
828 CRESTMOORE PL
VENICE, CA 90291
Los Angeles County (424) 410-8475
WONDER MEDICINE OF NEW YORK P.C.
Psychiatry & Neurology (Psychiatry)
828 CRESTMOORE PL
VENICE, CA 90291
Los Angeles County (424) 410-8475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wondermed Of California, Inc's NPI number?

The NPI number for Wondermed Of California, Inc is 1639824105. It was assigned to this organization in the NPPES registry on February 14, 2022.

Where is Wondermed Of California, Inc located?

Wondermed Of California, Inc is located at 828 Crestmoore Pl, Venice, CA 90291. The listed phone number is (310) 692-1469.

What is Wondermed Of California, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wondermed Of California, Inc was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.