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Organization
PACIFIC INTEGRATIVE WELLNESS PC
Active
Organization
PACIFIC INTEGRATIVE WELLNESS PC
Active
Other names
Pacific Integrative Psychiatry, IntraBalance PC
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP PATIL (COO)
(415) 231-6100
Entity
Organization
Contact information
Practice address
201 CLOUD VIEW TRL, SAUSALITO, CA 94965-2071
(415) 231-6100
(415) 231-6345
Mailing address
201 CLOUD VIEW TRL, SAUSALITO, CA 94965-2071
(312) 659-7700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133N00000X
Nutritionist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
04/09/2022
Last updated
04/09/2022
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