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FAMILY WELLNESS MEDICAL CORPORATION NPI 1548449564


NPI Information

NPI: 1548449564
Provider Name: FAMILY WELLNESS MEDICAL CORPORATION

Doing Business As: FAMILY WELLNESS MEDICAL ASSOCIATES

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3582 NATIONAL AVE
SUITE #2
SAN DIEGO, CA
ZIP 92113
Phone: (619) 338-0787
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FAMILY WELLNESS MEDICAL CORPORATION is a general practice in San Diego, 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 FAMILY WELLNESS MEDICAL CORPORATION NPI is 1548449564. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Family Wellness Medical Associates.

The provider's business location address is:

3582 NATIONAL AVE
SUITE #2
SAN DIEGO, CA
ZIP 92113-157
Phone: (619) 338-0787
Fax: (619) 338-0782

The provider's authorized official is Babatunde Adegbite Jinadu .
The authorized official title is President/principal and has the following contact phone number (661) 302-9884.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 12/10/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineC038721CALIFORNIANo
2208D00000XGeneral PracticeC038721CALIFORNIAYes

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: 4/28/2024

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