Organization
PROGRESSIVE HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAKASH K. BHATIA MD (PRESIDENT)
(619) 631-0128
Entity
Organization
Contact information
Practice address
161 E MAIN ST, SUITE 102, EL CAJON, CA 92020-3909
(619) 631-0128
(619) 631-0153
Mailing address
P.O. BOX 511588, LOS ANGELES, CA 90051-8143
(866) 284-2771
(800) 334-1041
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
04/19/2016
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