# INJURY AND WELLNESS MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700949245
- **Authorized official:** BRYAN DAVID HIXSON (MANAGER)
- **Authorized official phone:** (805) 434-5633

## Contact information

- **Practice address:** 292 POSADA LN, SUITE A, TEMPLETON, CA 93465-4054
- **Practice address phone:** (805) 434-5633
- **Mailing address:** PO BOX 6026, ATASCADERO, CA 93423-6026
- **Mailing address phone:** (805) 434-3563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 08/22/2020