Innovative Wellness Clinic, Inc., a Nursing Corporation
NPI #1316535776 in Spring Valley, California
Provider Information
- NPI Number
- 1316535776
- Entity Type
- Organization
- Organization Name
- Innovative Wellness Clinic, Inc., a Nursing Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 31, 2020
- Last Updated
- Jan 31, 2024
Practice Location
- Address
- 10225 AUSTIN DR
- Address 2
- STE 105
- City
- Spring Valley
- State
- California
- ZIP Code
- 91978-1521
- Phone
- (858) 648-0755
Authorized Official
- Name
- DANIELLE ALEXIS GORDON
- Title
- PRIMARY CARE PROVIDER
- Phone
- (858) 648-0755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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