Healthcare Provider Details

I. General information

NPI: 1750218285
Provider Name (Legal Business Name): CALIFORNIA CENTER FOR PAIN AND WELLNESS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 K ST FL 2
MODESTO CA
95354-0928
US

IV. Provider business mailing address

1300 K ST FL 2
MODESTO CA
95354-0928
US

V. Phone/Fax

Practice location:
  • Phone: 808-419-4153
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BHUPINDER WALIA
Title or Position: OWNER
Credential: MD
Phone: 808-419-4153