Healthcare Provider Details

I. General information

NPI: 1386866648
Provider Name (Legal Business Name): HEALTH AND WELLNESS ALTERNATIVES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 02/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 CAMINO DEL RIO S. SUITE 180
SAN DIEGO CA
92108-3746
US

IV. Provider business mailing address

2425 CAMINO DEL RIO S. SUITE 180
SAN DIEGO CA
92108-3746
US

V. Phone/Fax

Practice location:
  • Phone: 619-294-2225
  • Fax: 619-260-1798
Mailing address:
  • Phone: 619-294-2225
  • Fax: 619-260-1798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC22669
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. ROSEMARIE FLORES
Title or Position: OWNER/CHIROPRACTOR
Credential: D.C.
Phone: 619-294-2225