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Organization
WELLNESS CARE MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Organization
WELLNESS CARE MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBETH SALVATIN (MANAGER)
(415) 221-0177
Entity
Organization
Contact information
Practice address
416 16TH AVE, SAN FRANCISCO, CA 94118-2812
(415) 221-0177
Mailing address
416 16TH AVE, SAN FRANCISCO, CA 94118-2812
(415) 221-0177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194898726
—
CA
Enumeration date
11/15/2006
Last updated
01/24/2018
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