WELLNESS DIAGNOSTICS & MEDISPA INC NPI 1205299617

NPI Information

  • NPI: 1205299617
  • Provider Name: WELLNESS DIAGNOSTICS & MEDISPA, INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 2751 RECHE CANYON RD
    SPC 143
    COLTON, CA
    ZIP 92324
  • Phone: (808) 387-3302

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NPI Details

WELLNESS DIAGNOSTICS & MEDISPA, INC is a general practice in Colton, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WELLNESS DIAGNOSTICS & MEDISPA, INC NPI is 1205299617. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2751 RECHE CANYON RD
SPC 143
COLTON, CA
ZIP 92324-570
Phone: (808) 387-3302

The provider's authorized official is Gloria Marie F K Tumbaga .
The authorized official title is Owner and has the following contact phone number (808) 387-3302.

The enumeration date for this NPI number is 4/2/2016 and was last updated on 4/2/2016.

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
1208D00000XGeneral PracticeYes

What is NPI?

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This page was last updated on: 11/21/2025

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