# COMMUNITY WELLNESS MEDICAL ASSOCIATES A PC

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

## Provider details

- **NPI number:** 1952995615
- **Authorized official:** MICHAEL TINAMISAN CATAUSAN (MD)
- **Authorized official phone:** (913) 827-7273

## Contact information

- **Practice address:** 304 S 4TH ST STE 301, DANVILLE, KY 40422-2081
- **Practice address phone:** (650) 722-2611
- **Mailing address:** 1821 S BASCOM AVE \# 383, CAMPBELL, CA 95008-2309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2021
- **Last updated:** 04/30/2025