Healthcare Provider Details

I. General information

NPI: 1447162862
Provider Name (Legal Business Name): WELLNESS 360 TECHNOLOGIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2399 FORINO DR
DUBLIN CA
94568-2335
US

IV. Provider business mailing address

2399 FORINO DR
DUBLIN CA
94568-2335
US

V. Phone/Fax

Practice location:
  • Phone: 925-548-9304
  • Fax:
Mailing address:
  • Phone: 925-548-9304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MR. SRINIVASA R VANUKURI
Title or Position: CEO
Credential:
Phone: 925-548-9304