Organization
RECOVERY WELLNESS 360
Active
Organization
RECOVERY WELLNESS 360
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN TARDIFF (OWNER)
(805) 891-6551
Entity
Organization
Contact information
Practice address
1317 DEL NORTE RD STE 220B, CAMARILLO, CA 93010-8619
(805) 891-6551
Mailing address
1317 DEL NORTE RD STE 220B, CAMARILLO, CA 93010-8619
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
207KA0200X
Allergy Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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