Community Virtual Wellness
Clinic/Center, Health Services in Paso Robles, CA. Organization (NPI-2).
NPI number1619704293
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1619704293
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Virtual Wellness
- Organization subpart
- No
- Enumeration date
- Sep 17, 2024
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
| 251K00000X | Public Health or Welfare | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – |
Other names
- Community Virtual Wellness (Doing Business As)
Practice location
1208 Corral Creek Ave Apt 4Paso Robles, CA 93446-5013
Phone 404-790-0911
Mailing address
1241 Johnson Ave # 316San Luis Obispo, CA 93401-3306
Phone 404-790-0911
Authorized official
Yvonne Jones-Wicks
Owner
4047900911
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