Organization · NPI-2
2gorjis Integrated Health & Wellness
Point of Service · Pleasant Hill, CA
NPI number1104150358
StatusActive
Last updated in NPPESJul 10, 2020
Details
- NPI
- 1104150358
- Entity type
- Organization (NPI-2)
- Legal business name
- 2gorjis Integrated Health & Wellness
- Organization subpart
- No
- Enumeration date
- Sep 21, 2009
- Certification date
- Jul 10, 2020
- Last updated
- Jul 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | Massage Therapist | CA | Yes |
| 225700000X | Massage Therapist | 43135 | CA | |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | |
| 207N00000X | Dermatology | Z21679 | CA |
Practice location
81 Gregory Ln Ste 210Pleasant Hill, CA 94523-4922
Phone 925-932-8602
Mailing address
Po Box 4403Walnut Creek, CA 94596-0403
Phone 925-689-8602
Authorized official
Kim M Evans
Owner
9256898602
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