Mt Diablo Integrated Wellness Inc

LBN: Mt Diablo Integrated Wellness Inc
Mt Diablo Integrated Wellness Inc is an health care organization with primary practice located at 325 N Wiget Ln Suite 130, Walnut Creek CA 94598-2435. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mt Diablo Integrated Wellness Inc can be contacted via phone (925) 935-5425, or through Jain, Suprabha N via phone (925) 935-5425.

Contact Information

Primary practice address
325 N Wiget Ln Suite 130 Walnut Creek CA 94598-2435
Phone: (925) 935-5425
Fax: (925) 947-2671
Website:
Map and Directions
Authorized official contact:
Name: Jain, Suprabha N Doctor of Medicine (MD)
Phone: (925) 935-5425

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A67699 California

Profile Details

NPI number 1265623110
LBN Legal business name Mt Diablo Integrated Wellness Inc
DBA Doing business as
Authorized official Jain, Suprabha N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2007
Last updated Feb 23rd, 2017 - about 7 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265623110 NPPES
California Other ZZZ05648Z MEDICARE GROUP PTAN

Popular Providers