Organization
3PRONG
Active
Other names
Wellity Health
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK KUMAR MD (CEO)
(510) 952-1190
Entity
Organization
Contact information
Practice address
1375 BURLINGAME AVE STE L2, BURLINGAME, CA 94010-4131
(510) 952-1190
(510) 972-5976
Mailing address
39159 PASEO PADRE PKWY STE 121, FREMONT, CA 94538-1600
(510) 952-1190
(510) 972-5976
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
08/13/2025
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