Iwc Primary Care

LBN: Innovative Wellness Clinic, Inc., A Nursing Corporation
Iwc Primary Care is an health care organization with primary practice located at 10225 Austin Dr Ste 105, Spring Valley CA 91978-1521. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Innovative Wellness Clinic, Inc., A Nursing Corporation can be contacted via phone (858) 648-0755, or through Gordon, Danielle Alexis via phone (858) 648-0755.

Contact Information

Primary practice address
10225 Austin Dr Ste 105 Spring Valley CA 91978-1521
Fax: (534) 429-4287
Website:
Authorized official contact:
Name: Gordon, Danielle Alexis

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1316535776
LBN Legal business name Innovative Wellness Clinic, Inc., A Nursing Corporation
DBA Doing business as Iwc Primary Care
Authorized official Gordon, Danielle Alexis
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2020
Last updated Jan 31st, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316535776 NPPES
California Other A49264 MEDICAL LICENSE
California Other NP95010963 MEDICAL LICENSE

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