MEDICARE: ALTER WELLNESS CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1396461901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTER WELLNESS CARE

Provider Business Mailing Address
First Line	:	34232 PACIFIC COAST HWY STE B
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-3855
Country	:	US
Telephone Number	:	949-877-2419
Fax Number	:	949-308-7789

Provider Business Practice Location Address
First Line	:	31642 COAST HWY STE 100
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-7017
Country	:	US
Telephone Number	:	949-877-2419
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MICHELLE DUENSING
Credential	:
Telephone Number	:	949-877-2419

Provider Enumeration Date	:	10/14/2022
Last Update Date	:	04/25/2023

Similar Medicare Providers

1265764070 — CHRISTINE ANNA SANMIQUEL L.AC
Practice Location Address:

31642 COAST HWY STE 100
LAGUNA BEACH, CA
92651-7017

Practice Phone: 949-313-7818
Practice Fax:

1639791627 — ALTIGNIS HEALTH LLC
Practice Location Address:

31642 COAST HWY STE 102
LAGUNA BEACH, CA
92651-7017

Practice Phone: 310-402-4960
Practice Fax: 888-965-9813

1053493361 — CHARLES D REGISTER OD
Practice Location Address:

103 FAULKNER ST
NEW SMYRNA BEACH, FL
32168-7017

Practice Phone: 386-423-7788
Practice Fax: 386-423-0035

1912166869 — ERIC LOUIS NIVER DDS, MS
Practice Location Address:

4040 TIMBER RIDGE DR
VIRGINIA BEACH, VA
23455-7017

Practice Phone: 559-697-3746
Practice Fax:

1346516747 — BEACH VISION HOLDINGS, PA
Practice Location Address:

103 FAULKNER ST
NEW SMYRNA BEACH, FL
32168-7017

Practice Phone: 396-423-7788
Practice Fax: 386-423-0035

1033620661 — STAICA BARTHELEMY VITAL COTA
Practice Location Address:

1007 GREEN PINE BLVD APT F1
WEST PALM BEACH, FL
33409-7017

Practice Phone: 561-273-3275
Practice Fax:

Directions to “ALTER WELLNESS CARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.