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Alexander Wulff

Exclusive Provider Organization in Capitola, CA. Organization (NPI-2).

NPI number1114301447
StatusActive
Last updated in NPPESSep 24, 2015

Details

NPI
1114301447
Entity type
Organization (NPI-2)
Legal business name
Alexander Wulff
Organization subpart
No
Enumeration date
Jul 16, 2015
Last updated
Sep 24, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302F00000X Exclusive Provider Organization33191CAYes

Practice location

4895 Capitola Rd
Capitola, CA 95010-3810

Phone 831-476-7766

Mailing address

4895 Capitola Rd
Capitola, CA 95010-3810

Phone 831-476-7766

Authorized official

Alexander Wulff
Chiropractor
8314767766

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