| Wellness Aesthetics Central Coast | |
|
4450 Capitola Rd Ste 105 Capitola CA 95010-3570 | |
| (831) 325-0202 | |
| Not Available |
| Full Name | Wellness Aesthetics Central Coast |
|---|---|
| Speciality | Internal Medicine |
| Location | 4450 Capitola Rd Ste 105, Capitola, California |
| Authorized Official Name and Position | Jennifer Stanley (PROVIDER) |
| Authorized Official Contact | 8313250202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Aesthetics Central Coast 4450 Capitola Rd Ste 105 Capitola CA 95010-3570 Ph: (831) 325-0202 | Wellness Aesthetics Central Coast 4450 Capitola Rd Ste 105 Capitola CA 95010-3570 Ph: (831) 325-0202 |
| NPI Number | 1477175792 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 05/08/2020 |
| Medicare PECOS PAC ID | 9638594682 |
|---|---|
| Medicare Enrollment ID | O20200807000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477175792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Stanley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841724218 PECOS PAC ID: 1052663911 Enrollment ID: I20181004001578 |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 41st Ave, Suite D, Capitola, CA 95010 Phone: 831-476-3000 Fax: 831-476-9009 | |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Bayview Gastroenterology Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4145 Clares St, Ste A, Capitola, CA 95010 Phone: 831-662-9999 Fax: 831-662-9998 | |
Western Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Whole Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 38th Ave, Capitola, CA 95010 Phone: 831-621-1848 Fax: 831-621-1804 |