INTERNAL MEDICINE AND WELLNESS THERAPIES MEDICAL OFFICE INC NPI 1750427506

NPI Information

  • NPI: 1750427506
  • Provider Name: INTERNAL MEDICINE AND WELLNESS THERAPIES MEDICAL OFFICE INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: INTERNAL MEDICINE AND WELLNESS THERAPIES MEDICAL OFFICE INC
  • CLIA Number: 05D0963834
  • Address: 6815 FAIR OAKS BLVD
    CARMICHAEL, CA
    ZIP 95608
  • Phone: (916) 481-4389

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NPI Details

INTERNAL MEDICINE AND WELLNESS THERAPIES MEDICAL OFFICE INC is a specialist in Carmichael, CA. The provider is 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. INTERNAL MEDICINE AND WELLNESS THERAPIES MEDICAL OFFICE INC NPI is 1750427506. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Internal Medicine And Wellness Therapies Medical Office Inc.

The provider's business location address is:

6815 FAIR OAKS BLVD
CARMICHAEL, CA
ZIP 95608-868
Phone: (916) 481-4389
Fax: (916) 481-4307

The provider's authorized official is Kathrine Bayard Bisharat .
The authorized official title is President and has the following contact phone number (916) 481-4389.

The CLIA number assigned to this NPI record is 05D0963834 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 1/21/2020.

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
1174400000XSpecialistA048709CALIFORNIAYes

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: 3/30/2025

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