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ADULT MEDICINE AND WELLNESS INC NPI 1194171454


NPI Information

NPI: 1194171454
Provider Name: ADULT MEDICINE AND WELLNESS INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D0949917

Address:
480 4TH AVE
SUITE 516
CHULA VISTA, CA
ZIP 91910
Phone: (619) 476-9054
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ADULT MEDICINE AND WELLNESS INC is an internal medicine in Chula Vista, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ADULT MEDICINE AND WELLNESS INC NPI is 1194171454. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

480 4TH AVE
SUITE 516
CHULA VISTA, CA
ZIP 91910-414
Phone: (619) 476-9054
Fax: (619) 476-9056

The provider's authorized official is Rodrigo Jose Fernandez .
The authorized official title is President and has the following contact phone number (619) 476-9054.

The CLIA number assigned to this NPI record is 05D0949917 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2016 and was last updated on 5/5/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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