Mt Diablo Integrated Wellness Inc in Walnut Creek - Specialist
Mt Diablo Integrated Wellness Inc - NPI 1265623110
Mt Diablo Integrated Wellness Inc is a Specialist in Walnut Creek, California. Mt Diablo Integrated Wellness Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mt Diablo Integrated Wellness Inc is 1265623110. The last update date is 2017-02-23.
Mt Diablo Integrated Wellness Inc's current location address is 325 N Wiget Ln, Walnut Creek, California. You can contact this provider via phone number 9259355425 and fax number 9259472671. The mailing address for Mt Diablo Integrated Wellness Inc is 325 N Wiget Ln, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mt Diablo Integrated Wellness Inc |
|---|---|
| Address | 325 N Wiget Ln, Walnut Creek, California |
| Phone Number | 9259355425 |
| Fax Number | 9259472671 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jain N Suprabha |
| Credentials | M.D |
| Telephone Number | 9259355425 |
NPI Number Detail
| NPI Number | 1265623110 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2017-02-23 |
Provider Mailing Address Detail
| Address | 325 N Wiget Ln |
|---|---|
| City | Walnut Creek |
| State | California (CA) |
| Post Code | 945982435 |
| Phone Number | 9259355425 |
| Fax Number | 9259472671 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A67699 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ05648Z | CA | MEDICARE GROUP PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mt Diablo Integrated Wellness Inc?
The Mt Diablo Integrated Wellness Inc has been issued the NPI (National Provider Identifier) 1265623110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Mt Diablo Integrated Wellness Inc is physically located?
The Mt Diablo Integrated Wellness Inc is situated at the following address: 325 N Wiget Ln, Walnut Creek, CA 945982435.
What is Mt Diablo Integrated Wellness Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mt Diablo Integrated Wellness Inc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265623110 to Mt Diablo Integrated Wellness Inc?
The Centers for Medicare & Medicaid Services originally issued the 1265623110 to Mt Diablo Integrated Wellness Inc on 2007-08-06.
As of what date were the Mt Diablo Integrated Wellness Inc's details last updated?
The information pertaining to the Mt Diablo Integrated Wellness Inc, including its address, specialty, and other details, was most recently updated on 2017-02-23.