Recovery Wellness 360
Internal Medicine, Allergy & Immunology in Camarillo, CA. Organization (NPI-2).
NPI number1811822471
StatusActive
Last updated in NPPESJun 16, 2026
Details
- NPI
- 1811822471
- Entity type
- Organization (NPI-2)
- Legal business name
- Recovery Wellness 360
- Organization subpart
- No
- Enumeration date
- Jun 16, 2026
- Certification date
- Jun 16, 2026
- Last updated
- Jun 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RA0201X | Internal Medicine, Allergy & Immunology | – | – | Yes |
| 133N00000X | Nutritionist | – | – | |
| 207KA0200X | Allergy & Immunology, Allergy | – | – | |
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | – | – | |
| 261Q00000X | Clinic/Center | – | – |
Practice location
1317 Del Norte Rd Ste 220bCamarillo, CA 93010-8619
Phone 805-891-6551
Mailing address
1317 Del Norte Rd Ste 220bCamarillo, CA 93010-8619
Authorized official
Kevin Tardiff
Owner
8058916551
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