Cv Advanced Wellness Medical Group, INC
Clinic/Center, Health Services in Thousand Oaks, CA. Organization (NPI-2).
NPI number1396306239
StatusActive
Last updated in NPPESJun 21, 2019
Details
- NPI
- 1396306239
- Entity type
- Organization (NPI-2)
- Legal business name
- Cv Advanced Wellness Medical Group, INC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2019
- Last updated
- Jun 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
Practice location
3180 Willow Ln Ste 206Thousand Oaks, CA 91361-4941
Phone 805-435-1200
Mailing address
3180 Willow Ln Ste 206Thousand Oaks, CA 91361-4941
Authorized official
Brandi Caro
Founder
6613121275
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