Organization · Type 2 NPI
Wellness Diagnostics
Ambulatory Surgical Clinic/Center · South Lake Tahoe, CA
NPI number
1972874303
Active
Practice location
854 Emerald Bay Rd Ste C
South Lake Tahoe, CA 96150-6438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | K11111 (CA) |
Ambulatory Surgical Clinic/Center: Definition to come...
About NPI 1972874303
Wellness Diagnostics's National Provider Identifier is 1972874303, issued on Jan 17, 2012. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jan 17, 2012.