Provider Demographics
NPI:1053768515
Name:WGM CONSULTING LLC
Entity type:Organization
Organization Name:WGM CONSULTING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BHAVNA
Authorized Official - Middle Name:
Authorized Official - Last Name:UPPAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-726-8822
Mailing Address - Street 1:1255 W COLTON AVE
Mailing Address - Street 2:SUITE 529
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-2861
Mailing Address - Country:US
Mailing Address - Phone:800-976-1014
Mailing Address - Fax:800-976-1014
Practice Address - Street 1:1255 W COLTON AVE
Practice Address - Street 2:SUITE 529
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-2861
Practice Address - Country:US
Practice Address - Phone:800-976-1014
Practice Address - Fax:800-976-1014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-14
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based