Organization
WELLNESS OF SD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENTE T ORTIZ JR. (OWNER)
(805) 727-1234
Entity
Organization
Contact information
Practice address
5350 RILEY ST, SAN DIEGO, CA 92110-2621
(805) 727-1234
Mailing address
4150 ALBATROSS DR, SAN DIEGO, CA 92103-1905
(805) 727-1234
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
07/22/2022
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