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NPI Code Detail

MEDICARE: NEW METHOD WELLNESS, INC.

MEDICARE: NEW METHOD WELLNESS, INC.
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
1324500000XSubstance Abuse Rehabilitation Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1300229CPOTHERCACALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES

General Provider Information

NPI Number : 1649831645
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW METHOD WELLNESS, INC.
Provider Business Mailing Address
First Line : 31473 RANCHO VIEJO RD STE 101
Second Line :
City : SAN JUAN CAPISTRANO
State : CA
Zip : 92675-1862
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 34741 CALLE LAS FLORES
Second Line :
City : CAPISTRANO BEACH
State : CA
Zip : 92624-1549
Country : US
Telephone Number : 949-951-1824
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SUSIE HOPSON
Credential :
Telephone Number : 949-951-1824
Provider Enumeration Date : 06/21/2019
Last Update Date : 05/28/2021

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