Provider Demographics
NPI:1083277677
Name:WELLOCITY, INC
Entity Type:Organization
Organization Name:WELLOCITY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:KANAGALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-933-0951
Mailing Address - Street 1:334 SANTANA ROW
Mailing Address - Street 2:318
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128
Mailing Address - Country:US
Mailing Address - Phone:888-660-8371
Mailing Address - Fax:
Practice Address - Street 1:334 SANTANA ROW
Practice Address - Street 2:318
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:888-660-8371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty