Organization
WELLNESS & REHABILITATION MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MICHAEL DAVIS M.D. (PRESIDENT)
(310) 905-9910
Entity
Organization
Contact information
Practice address
345 S HALCYON RD, ARROYO GRANDE, CA 93420-3817
(310) 905-9910
Mailing address
PO BOX 2655, PISMO BEACH, CA 93448-2655
(310) 905-9910
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A121226
CA
Other
Enumeration date
04/04/2014
Last updated
10/27/2014
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