PACIFIC INTEGRATIVE WELLNESS PC

201 CLOUD VIEW TRL, SAUSALITO, CA, 949652071

atlas:atm_npi_1104568245

What is stored

phone: 415-231-6100
status: A
address: 201 CLOUD VIEW TRL, SAUSALITO, CA, 949652071
fax: 415-231-6345
npi: 1104568245
taxonomy: Psychiatry & Neurology, Psychiatry
other names: ["INTRABALANCE PC","PACIFIC INTEGRATIVE PSYCHIATRY"]
last updated: 2022-04-09
taxonomy code: 2084P0800X
all taxonomies: ["Psychologist","Nutritionist","Psychiatry & Neurology, Sleep Medicine","Psychiatry & Neurology, Psychiatry"]
enumeration date: 2022-04-09
enumeration type: NPI-2
practice locations: 0
authorized official: SANDEEP PATIL
organizational subpart: NO

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{
  "fax": "415-231-6345",
  "npi": "1104568245",
  "phone": "415-231-6100",
  "status": "A",
  "address": "201 CLOUD VIEW TRL, SAUSALITO, CA, 949652071",
  "license": null,
  "taxonomy": "Psychiatry & Neurology, Psychiatry",
  "other_names": [
    "INTRABALANCE PC",
    "PACIFIC INTEGRATIVE PSYCHIATRY"
  ],
  "last_updated": "2022-04-09",
  "license_state": null,
  "taxonomy_code": "2084P0800X",
  "all_taxonomies": [
    "Psychologist",
    "Nutritionist",
    "Psychiatry & Neurology, Sleep Medicine",
    "Psychiatry & Neurology, Psychiatry"
  ],
  "enumeration_date": "2022-04-09",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "SANDEEP PATIL",
  "organizational_subpart": "NO"
}