| San Jose Integrative Wellness Center | |
|
825 Pollard Rd Ste 108 Los Gatos CA 95032-1435 | |
| (408) 357-0105 | |
| (408) 357-0105 |
| Full Name | San Jose Integrative Wellness Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 825 Pollard Rd Ste 108, Los Gatos, California |
| Authorized Official Name and Position | Manuj Nangia (OWNER/PRESIDENT) |
| Authorized Official Contact | 6508140535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Jose Integrative Wellness Center 825 Pollard Rd Ste 108 Los Gatos CA 95032-1435 Ph: (408) 357-0105 | San Jose Integrative Wellness Center 825 Pollard Rd Ste 108 Los Gatos CA 95032-1435 Ph: (408) 357-0105 |
| NPI Number | 1902280712 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902280712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A91711 (California) | Primary |
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