| Wave Wellness | |
|
4407 Manchester Ave Ste 102 Encinitas CA 92024-4941 | |
| (760) 652-6800 | |
| (760) 274-6165 |
| Full Name | Wave Wellness |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4407 Manchester Ave Ste 102, Encinitas, California |
| Authorized Official Name and Position | Emma Dorantes (OFFICE MANAGER) |
| Authorized Official Contact | 7604587539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wave Wellness 4401 Manchester Ave Ste 106 Encinitas CA 92024-4938 Ph: (760) 753-0220 | Wave Wellness 4407 Manchester Ave Ste 102 Encinitas CA 92024-4941 Ph: (760) 652-6800 |
| NPI Number | 1417774399 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417774399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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