Organization · Type 2 NPI

Mahal Earth Wellness Center

Pain Clinic/Center · Arroyo Grande, CA

NPI number 1891229282 Active

Practice location

1054 E Grand Ave Ste C
Arroyo Grande, CA 93420-2527

Fax (805) 904-6234

Specialties and licenses

Taxonomy	Code	License
Pain Clinic/Center Primary	261QP3300X	A23497 (CA)

Pain Clinic/Center: Definition to come...

Another provider at this address

Ji Lim, DMDEndodontics Arroyo Grande, CA NPI 1275983488

NPI record

NPI: 1891229282
Entity type: Organization (Type 2)
Issued: Apr 12, 2017
Last updated: Apr 12, 2017
Status: Active
Subpart: Yes of Mahal Earth Wellness Center

Other names

<unavail>
Rosen MD Treatment Center · doing business as

Authorized official

Dr. Maria Theresa Rosen
President
(805) 264-2969

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891229282

Mahal Earth Wellness Center's National Provider Identifier is 1891229282, issued on Apr 12, 2017. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Arroyo Grande, CA. The record was last updated on Apr 12, 2017.