Healthcare Provider Details

I. General information

NPI: 1750191722
Provider Name (Legal Business Name): VEDA WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 G ST STE E1
MERCED CA
95340-2953
US

IV. Provider business mailing address

2750 G ST STE E1
MERCED CA
95340-2953
US

V. Phone/Fax

Practice location:
  • Phone: 209-819-9534
  • Fax: 209-673-2933
Mailing address:
  • Phone: 209-819-9534
  • Fax: 209-676-2933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MAHESH NATARAJAN
Title or Position: CEO
Credential: CMT
Phone: 209-819-9534